Prescription Drug Plan - Active Employee
Prescription Drug Plan 2016 - 2017
Your prescription drug benefits are a part of your UT SELECT Medical Plan and are administered by Express Scripts.
|ACCESS OPTIONS||Generic Drug Copayment||Preferred Drug Copayment||Non-Preferred Drug Copayment|
Retail Network Pharmacy:
Up to a 31-day supply. Refills allowed as prescribed. (good option for new prescriptions)
Home Delivery Pharmacy:
Up to a 90-day supply. Refills allowed as prescribed.
(best option for maintenance medication)
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.
- Prescription Drug Video
- UT SELECT Medical Plan Guide
- Prescription Drug Co-payments at a glance
- Prescription Drug Formulary
- Express Scripts Website
- Prescription Drug Reimbursement Form
Express Scripts CUSTOMER SERVICE (800) 818-0155
ATTN: Commercial Claims
PO BOX 2872
Clinton, IA 52733-2872