Prescription Coverage

Prescription coverage is provided through a formulary, in-network benefit program. Coverage is effective the first of the month following 90 days of full-time continuous employment. The prescription program is available to employees who are enrolled in the University's Group Medical Insurance Program.

For Pharmacy:

There is a $10 co-payment for generic drugs purchased at a retail pharmacy, a $25 co-payment for preferred brand name drugs purchased at a retail pharmacy, and a $50 co-payment for all other non-preferred generic or non-preferred brand name drugs purchased at a retail pharmacy.

Prescription drugs purchased at an in-network retail pharmacy may be filled for quantities up to a 90-day supply. One prescription co-payment will be collected for each increment of a 30-day supply of prescription drugs purchased at a retail pharmacy.

For Mail Order:

There is a $20 co-payment for generic drugs when purchased through mail order, a $50 co-payment for preferred brand name drugs purchased through mail order, and a $100 co-payment for all other non-preferred generic or non-preferred brand name drugs purchased through mail order. One prescription co-payment will be collected for each increment of a 90-day supply.

SPECIALTY PHARMACY

Certain special pharmaceuticals must be obtained from one of the contracted specialty pharmacies.  Special pharmacies are considered "retail pharmacies" are always subject to the retail co-payment levels even when purchased through the mail order option.

Horizon BCBS Pharmacy Claim Form - Mail Order CVS Caremark

A copy of the Summary Plan Description is available in the Office of Human Resources. Read our plan summary of the prescription coverage available.