for employees

The prescription benefit is the same for all UK health plans. You are automatically enrolled in prescription coverage if you are on a health plan. Express Scripts is our benefit manager for prescription coverage. 

Generic prescription drugs are usually your best value. They contain the same active ingredients as brand-name equivalent drugs at a lower cost. 

Receiving a 90-day supply for each prescription through Express Scripts Mail Service Pharmacy or a UK Retail Pharmacy (such as the one at Kentucky Clinic) to get the 90-day supply discount. For example, UK Retail Pharmacies offer UK employees enrolled in a UK health plan a 50 percent discount (up to $60) on many medicines if they are prescribed by a UK HealthCare provider. 

Below is an example of how choosing where and how to fill your prescription can save you - and the University - money on your medicines.

Mike

Mike visits his UK HealthCare doctor and gets a prescription for a beta blocker for his high blood pressure. Fred asks his doctor to prescribe a 90-day supply of the generic medicine. Because Fred sees a UK doctor and fills his prescription at a UK Retail Pharmacy, he receives a 50 percent discount. 

Total cost of 90-day supply: $26.37 

Fred pays his $12 minimum co-pay for a 90-day generic supply at Kentucky Clinic Pharmacy (including his 50 percent discount). 

UK pays $14.37. 

 
Ike

Ike goes to his non-UK HealthCare doctor and also finds he needs a beta blocker for high blood pressure. Barney receives a prescription for a 90-day supply of the brand-name medicine, which Barney fills through the Express Scripts mail order pharmacy. 

Total cost of 90-day supply: $322.99 

Barney pays his $120 minimum co-pay for a 90-day brand-name supply. 

UK pays $202.99. 

 

Co-payments for each type of retail 30-day prescription at your local participating pharmacy, including UK Retail Pharmacies or Express Scripts Mail Service Pharmacy:
Generic 20% or minimum of $8 Max of $50 per prescription
Formulary brand 40% or minimum of $20 Max of $60 per prescription
Non-formulary brand 50% or minimum of $40 No maximum
Specialty generic 20% or minimum of $8 Max of $50 per prescription
Specialty brand $100 per prescription Max of $100 per prescription
     
Co-payments for each type of 90-day prescription only at a UK Retail Pharmacy or Express Scripts Mail Service Pharmacy:
Generic  10% of minimum of $24  Max of $100 per prescription 
Formulary brand  30% of minimum of $60  Max of $120 per prescription 
Non-formulary brand 40% or minimum of $120 No maximum 
Specialty generic  N/A (limited to 30 days)  
Specialty brand  N/A (limited to 30 days)  

 
Sometimes medicines can change categories (generic, preferred brand, non-preferred brand). It’s always a good idea to check which category your medicine is in. Visit www.express-scripts.com. 

Please call a pharmacist with the Know Your Rx Coalition at 859-218-5979 or 855-218-5979 for information specific to your medication, formulary and costs.