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. UK is a founding member of the Know Your Rx Coalition (KYRx), which has pharmacists on staff to help you find money-saving alternatives to your current medications and answer any prescription-related questions.


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. To view this information, visit www.express-scripts.com. Questions? Please call our pharmacists with the Know Your Rx Coalition at 859-218-5979 or 855-218-5979 for information specific to your medication, formulary and costs. 


Receive 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. Mike asks his doctor to prescribe a 90-day supply of the generic medicine. Because Mike 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. Ike receives a prescription for a 90-day supply of the brand-name medicine, which Ike 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. 


 















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 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)

 


 *Certain specialty medications are considered non-essential health benefits under the plan. Co-pays for these specialty medications will be set to the maximum of current plan design or any available manufacturer-funded copay assistance. Program drugs will be reimbursed by the manufacturer at no cost to the participant. The cost of such drugs will not be applied toward participants prescription out of pocket. A list of included specialty medications available here.