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) may also cost less than a 30-day supply. 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. 

Health and prescription ID cards 

You must present both your regular Medicare card and your UK Medicare Carveout Classic card for health coverage. For Medicare parts A and B, you should have received a card when you became eligible for Medicare. Keep this card in a safe place - you will not be issued a new card each year. For the plan year that starts in January, you will not receive a new ID card.

Saving money on prescriptions

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 

Mike 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 

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

UK pays $202.99. 

Working retirees or retirees under age 65

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% or minimum of $24 Max of $100 per prescription
Formulary brand 30% or minimum of $60 Max or $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)  

 

Medicare Part D prescription drug plan

  Retail pharmacy (per 30-day supply) Express Scripts Mail Order Pharmacy (90-day supply)
Generic 20% co-insurance, $50 maximum 10% co-insurance, $100 maximum
Preferred brand 40% co-insurance, $20 minimum, $60 maximum 30% co-insurance, $60 minimum, $120 maximum
Non-preferred brand 50% co-insurance, $40 minimum 40% co-insurance, $120 minimum
Non-formulary drug Not covered Not covered
Specialty drug As above, limit to 30-day supply As above, limit to 30-day supply

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.