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 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 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)|
*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.
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.