Pharmacy Benefit 2009
Express Scripts, the pharmacy benefit manager, provides 24-hour customer service, web-based drug information, and an integrated mail/home pharmacy service. You will pay a percentage of the cost of the prescription, with a minimum and maximum co-payment.
UofL Pharmacy Benefit
There is one universal prescription benefit for all U of L health plans. You will receive a separate prescription benefit identification card that you must present to your pharmacist at the time of service. Enrollment in the prescription plan is automatic when you enroll in any health plan.
Formulary
The Express Scripts formulary for U of L is available online at www.express-scripts.com. This site https://member.express-scripts.com/preview/louisville2009 may be used to help you estimate your pharmacy costs as well as assist you with exploring ways to save money. You may also locate pharmacies near you that are in the Express Scripts network using this tool.
Express Scripts Mail Service Pharmacy
To take advantage of added savings and the convenience of mail service for maintenance medications, just complete a mail service profile. Call Express Scripts at 1-800-298-6890 for a profile.You only need to complete one for each family member. Mail each profile, original prescription(s) and co-payment(s) in the self-addressed envelope. Please allow 14 business days to receive your prescription.
How to Fill Your Prescription
At your local participating pharmacy: Present your Express Scripts ID card to the pharmacist to get your immediate need (30 day supply) prescriptions filled at any one of more than 50,000 chain and independent retail pharmacies in the Express Scripts national network.
For Questions About the Pharmacy Benefit please contact Express Scripts at 1-800-298-6890
2009 Pharmacy Benefit Cost Summary
Retail (30-Day Supply)
Type |
You pay |
Minimum & Maximum |
Generic |
$8 |
|
Formulary* Brand |
25% |
$30.00 minimum and $60.00 maximum |
Non-Formulary Brand |
40% |
$50.00 minimum and $100.00 maximum |
Mail-Order Pharmacy (90-Day Supply)
Type |
You pay |
Minimum & Maximum |
Generic |
$16 |
|
Formulary* Brand |
15% |
$60.00 minimum and $120.00 maximum |
Non-Formulary Brand |
35% |
$100.00 minimum and $200.00 maximum |
Prescription Reimbursement Form (pdf)
Notice of Creditable Coverage 2008
