Your Prescription Benefit
What You Need to Know:
All UK health plans include a prescription drug benefit administered directly by Express Scripts. Enrollment in the prescription plan is automatic with your enrollment in any of the UK health plans. Members are issued a prescription benefit card separate from their health plan card (and will typically not receive a new prescription benefit card every year).
Benefit Card from Express Scripts
Members are issued a prescription benefit card separate from their health plan card and will typically not receive a new prescription benefit card every year. Once issued, the original prescription benefit card will work in subsequent plan years. To order a replacement ID card, contact the Employee Benefits Office at (859) 257-9519 and select option 3.
Express Scripts is the pharmacy benefit manager that provides 24-hour customer service, web-based drug information, and an integrated mail service pharmacy. This is a single point of contact for all your prescription benefit needs. You will pay a percent coinsurance for your prescriptions, with a minimum and maximum copayment.
Local Participating Pharmacy
Present your Express Scripts ID card to the pharmacist to get your immediate need (30-day supply) prescriptions filled at any one of over 40,000 chain and independent retail pharmacies participating in the Express Scripts national network.
Retirees: Retirees participating in the UK Medicare Prescription Drug Benefit will be able to also get a 90 day supply at any of the participating Express Scripts pharmacies.
Express Scripts Mail Service Pharmacy
You are able to receive by mail up to a 90-day supply of your medications. Your medications will be delivered free of shipping costs within two weeks (extra charge for faster shipping). You will be able to track these prescriptions on the Express Scripts Web site, and reorder by phone, mail or online (www.express-scripts.com). View the PDF to learn all about UK's Express Scripts Home Delivery.
Employees: Order forms for the mail service prescription drug program are available from Express Scripts. Click here for the Express Scripts mail order form.
Retirees: Retirees participating in the UK Medicare Prescription Drug Benefit will be able to get a discount on a 90 day supply through mail order ONLY. Click here for order forms for UK Medicare Prescription Drug Benefits retirees. Click here for the pre-Medicare (under age 65) retiree mail order form.
UK Retail Pharmacies
You may obtain both your immediate need (30-day supply) prescriptions AND your chronic need (up to 90-day supply) prescriptions at the UK retail pharmacies, including Kentucky Clinic Pharmacy, Chandler Retail Pharmacy and University Health Service Pharmacy (on a walk-up basis). Please note: You may use a UK retail pharmacy from both UK and non-UK prescribers.
Retirees: Retirees participating in the UK Medicare Prescription Drug Benefit will not receive a 90 day supply discount from the Kentucky Clinic Pharmacy.
Our dedicated UK pharmacist team is here to help UK health plan members with any medication questions, including potential ways to save money! Contact our UK pharmacist team at (859) 218-5979 or firstname.lastname@example.org for the following:
- find participating pharmacies (pharmacy locator)
- determine whether a particular drug is preferred or non-preferred (searchable formulary and alternatives)
- understand copay or coinsurance amounts you are required to pay (price check)
- learn about health news, personalized drug information, drug interactions, conditions and treatments, Senior Corner, drug comparisons
- obtain information on step therapy
- get information on home delivery
- prescription benefit details
Or, for specific questions about your prescription benefit coverage you may contact the Express Scripts Customer Service Call Center (available 24 hours a day, 365 days a year) at (877) 242-1864, hearing impaired (800) 899-2114, or visit the Express Scripts Web site at www.express-scripts.com.
Use the contact numbers that apply to your type of coverage for specific questions about your prescription benefit coverage.
Employees and Retirees Under Age 65: You may contact the Express Scripts Customer Service Call Center (available 24 hours a day, 7 days a week) at (877) 242-1864, hearing impaired (800) 899-2114, or visit the Express Scripts Web site at www.express-scripts.com.
Medicare Carveout Retirees (Age 65 and Over): You may contact the Express Scripts Customer Service Call Center (available 24 hours a day, 7 days a week) at (888) 787-2437; TTY users should call (800) 899-2114, or visit the Express Scripts Web site at www.express-scripts.com. Medicare-eligible retirees (age 65 and over) may contact Medicare 24 hours a day, 7 days a week, call 1-800-MEDICARE (1-800-633-4227); TTY users should call 1-877-486-2048.
Extra Help Program: Federal financial assistance may be available for people with limited income and resources to help pay for medications. Almost 1 in 3 people with Medicare will qualify for extra help. Medicare will pay for almost all of their prescription drug costs. You can apply or get more information about the extra help by calling Social Security at 1-800-772-1213 (TTY 1-800-325-0778) or visiting this page.
Manual Claim Filing
Under some circumstances it may be necessary to manually file a prescription claim. For example if you are out of town and cannot locate your Express-Scripts ID card, it may be necessary to pay for the prescription and manually file for reimbursement once you return.
Please note claims must be filed within twelve (12) months of receiving a prescription.
Employees: Click here for a claims order form. Complete the claim form as indicated and follow the instructions below. OR you may request a claim form from UK Employee Benefits Customer Service at 1-800-999-2183 or 859-257-9519, and select option 3.
Retirees: Click here for order forms for retirees under age 65 (non-Medicare). Click here for order forms for UK Medicare retirees. Complete the claim form as indicated and follow the instructions below. OR you may request a claim form from UK Employee Benefits Customer Service at 1-800-999-2183 or 859-257-9519, and select option 3.
Attach a prescription receipt or label with the claim form which includes:
- Patient’s name/address
- Pharmacy name/address
- Date filled
- Drug name, strength and NDC number
- Days supply
*Note- patient history printouts from the pharmacy are also acceptable but MUST be signed by the pharmacist. Cash register receipts are NOT acceptable for any prescriptions, except diabetic supplies.