The prescription benefit is the same for all UK health plans, except the UK Health Saver plan, which pays a percentage of prescription costs after you meet your deductible. You are automatically enrolled in prescription coverage if you are enrolled on one of our health plans.
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. Retirees enrolled in Medicare are not eligible for this discount.
Prescription benefit If you have a UK health insurance plan, you are automatically enrolled in prescription coverage
Express Scripts is our benefit manager for prescription coverage
Or call Express Scripts at (877) 242-1864 Monday through Friday, 7:30 a.m. to 5:30 p.m. Central Time.
UK Pharmacists can be reached at (859) 218-5979.
Co-insurance and copays per prescription
Health plan members
30-day prescriptions 30-day supply or less
| Category | You'll pay |
|---|---|
| Generic | 20% (minimum of $8 to maximum of $50) |
| Formulary brand | 40% (minimum of $20 to maximum of $60) |
| Non-formulary brand | 50% (minimum of $40 and no maximum) |
| Speciality generic | 20% (minimum of $8 to maximum of $50) |
| Speciality brand* | $200 |
| Category | You'll pay (before deductible) | You'll pay (after deductible) |
|---|---|---|
| Generic | Before your annual deductible is met, you'll pay 100% of the cost of your prescriptions. | 20% |
| Formulary brand | 40% | |
| Non-formulary brand | 50% | |
| Speciality generic | 20% | |
| Speciality brand* | 50% |
90-day prescriptions 31- to 90-day supply (UK pharmacies and Express Scripts)
| Category | You'll pay |
|---|---|
| Generic | 10% (minimum of $24 to maximum of $100) |
| Formulary brand | 30% (minimum of $60 to maximum of $120) |
| Non-formulary brand | 40% (minimum of $120 and no maximum) |
| Speciality generic | N/A (limited to 30 days) |
| Speciality brand* | N/A (limited to 30 days) |
| Category | You'll pay (before deductible) | You'll pay (after deductible) |
|---|---|---|
| Generic | Before your annual deductible is met, you'll pay 100% of the cost of your prescriptions. | 20% |
| Formulary brand | 40% | |
| Non-formulary brand | 50% | |
| Speciality generic | N/A (limited to 30 days) | |
| Speciality 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.
Medicare
30-day prescriptions 30-day supply or less
| Category | You'll pay |
|---|---|
| Most generics | 20% (no minimum to maximum of $50) |
| Preferred brand and some generics | 40% (minimum of $20 to maximum of $60) |
|
Non-preferred (includes some generics) |
50% (minimum of $40 and no maximum) |
| Non-formulary generic/brand | Not covered |
60-day prescriptions 31- to 60-day supply
| Category | You'll pay |
|---|---|
| Most generics | 10% (no minimum to maximum of $100) |
| Preferred brand and some generics | 30% (minimum of $60 to maximum of $120) |
|
Non-preferred (includes some generics) |
40% (minimum of $120 and no maximum) |
| Non-formulary generic/brand | Not covered |
| Category | You'll pay |
|---|---|
| Most generics | 20% (no minimum to maximum of $100) |
| Preferred brand and some generics | 40% (minimum of $40 to maximum $120) |
|
Non-preferred (includes some generics) |
50% (minimum of $80 and no maximum) |
| Non-formulary generic/brand | Not covered |
90-day prescriptions 61- to 90-day supply
| Category | You'll pay |
|---|---|
| Most generics | 10% (no minimum to maximum of $100) |
| Preferred brand and some generics | 30% (minimum of $60 to maximum of $120) |
|
Non-preferred (includes some generics) |
40% (minimum of $120 and no maximum) |
| Non-formulary generic/brand | Not covered |
| Category | You'll pay |
|---|---|
| Most generics | 20% (no minimum to maximum of $150)) |
| Preferred brand and some generics | 40% (minimum of $60 to maximum of $180) |
|
Non-preferred (includes some generics) |
50% (minimum of $120 and no maximum) |
| Non-formulary generic/brand | Not covered |
Express Scripts Home Delivery FAQs
Medicare Part D Prescription Coverage FAQs
Updates
April 24, 2023 Update to coverage of some emergency room visits
December 21, 2022 Change to our pharmacy network
October 27, 2022 FSA debit cards now usable at all UK Retail Pharmacies
Benefits
All UK health insurance members are eligible for this free service.
Contact our office
Monday-Friday from 8 a.m. to 5 p.m.
(859) 257-9519
benetfits@uky.edu
