Prescription Drug Plan - Active Employee

Prescription Drug Plan - Active Employee

 Prescription Drug Plan 2015 - 2016

Your prescription drug benefits are a part of your UT SELECT Medical Plan and are administered by Express Scripts.

For information about benefit changes for next plan year effective September 1, 2016, please see the Annual Enrollment page.

 

ANNUAL DEDUCTIBLE
(does not apply to medical plan deductible)

$100/person/year
ACCESS OPTIONS Generic Drug Copayment Preferred Drug Copayment Non-Preferred Drug Copayment
Retail Network Pharmacy:
Up to a 30-day supply. Refills allowed as prescribed. (good option for new prescriptions)
$10 $35 $50
Home Delivery Pharmacy:
Up to a 90-day supply. Refills allowed as prescribed.
(best option for maintenance medication)
$20 $87.50 $125

Document  RESOURCES

Prescription Drug Video

UT SELECT Medical Plan Guide

Prescription Drug Co-payments at a glance

> Prescription Drug Formulary  

> Express Scripts Website

FAQ


Mail  CONTACT

Express Scripts CUSTOMER SERVICE
(800) 818-0155
CLAIMS ADDRESS
Express Scripts
ATTN: Commercial Claims
PO BOX 2872
Clinton, IA 52733-2872

Prescription Drug Reimbursement Form

If you purchase a preferred or non-preferred drug when a less expensive generic alternative drug is available, you must pay the difference between the cost of the brand name drug and the generic drug  plus the applicable generic copayment . This difference does NOT count toward your annual deductible. Sometimes the cost difference is quite large. 

The generic, preferred, or non-preferred list of covered drugs is reviewed periodically resulting in changes to the prescription drug list throughout the year. If you are taking a medication that is affected by one of these changes, Express Scripts will mail a letter to your address on file to alert you of the change in benefits. Please refer to the Express Scripts website at www.express-scripts.com/ut or call Express Scripts Customer Service ( 1- 800-818-0155 ) for current information on specific medications.

Your Prescription Drug Plan and Medicare Part D

The Federal Medicare program provides a Medicare-approved prescription drug benefit – Medicare Part D. The University of Texas System continues to offer your current UT SELECT prescription drug benefit, and enrollment in Medicare Part D will have a negative financial impact for most UT participants.

UT strongly urges you NOT to enroll in the Medicare Part D program. UT is committed to providing your prescription drug coverage now and in the future and to helping you make informed choices about your prescription drug benefit. For a relatively small number of very low-income UT retirees, enrolling in Medicare Part D may save money if the retiree also qualifies for a “low income subsidy” provided as part of the Medicaid Part D Program. Please see the Medicare Part D Notice of Creditable Coverage . For more information about the low income subsidy, call 1-800-772-1213 or visit www.socialsecurity.gov .

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