Page 7 - 2015 NISC Open Enrollment
P. 7
2015 Open Enrollment
Pharmacy
Pharmacy Benefits
Your prescription drug beneits are provided through OptumRx, a
UHC company. For further details please refer to the UHC website Prescriptions
at www.myuhc.com.
Check the label: Find out if
There are thousands of participating pharmacies throughout the country the prescription drugs you are
taking now are on the UHC list
to meet your retail prescription needs. You also have the option of using of preferred drugs (called a
mail order services for maintenance medication. Once the deductible formulary). To avoid any surprises,
has been met, you will pay a copayment for prescription drugs according go to the UHC website to review
to the schedule below. Your copayment amount is based on the type of the formulary. If your drug is
prescription being illed (generic, brand-name formulary, or brand-name not on the list you may want
to ask your doctor about a less
non-formulary), and whether you are obtaining your prescription from expensive alternative.
a retail pharmacy or through the mail order option. You will pay only a
copayment for preventive prescriptions, regardless of whether or not the
deductible has been met (copayments for preventive prescriptions are not
applied to deductible).
Rx Formulary
Go to www.myuhc.com for a complete and up-to-date Prescription Drug
Listing (PDL) information. This website is the best source for up-to-date
information about the medications your pharmacy beneit covers, possible
lower-cost options, and how the cost of medications compare. Be sure to
check this listing before your coverage begins with UHC.
Retail
Prescription Drug Plan * (30 day) Mail Order
(90 day)
Tier 1 $10 $20
Tier 2 $30 $60
Tier 3 $50 $100
* Copayments apply to preventive prescriptions immediately, copayments apply to all other
prescriptions once the deductible has been met
7
Pharmacy
Pharmacy Benefits
Your prescription drug beneits are provided through OptumRx, a
UHC company. For further details please refer to the UHC website Prescriptions
at www.myuhc.com.
Check the label: Find out if
There are thousands of participating pharmacies throughout the country the prescription drugs you are
taking now are on the UHC list
to meet your retail prescription needs. You also have the option of using of preferred drugs (called a
mail order services for maintenance medication. Once the deductible formulary). To avoid any surprises,
has been met, you will pay a copayment for prescription drugs according go to the UHC website to review
to the schedule below. Your copayment amount is based on the type of the formulary. If your drug is
prescription being illed (generic, brand-name formulary, or brand-name not on the list you may want
to ask your doctor about a less
non-formulary), and whether you are obtaining your prescription from expensive alternative.
a retail pharmacy or through the mail order option. You will pay only a
copayment for preventive prescriptions, regardless of whether or not the
deductible has been met (copayments for preventive prescriptions are not
applied to deductible).
Rx Formulary
Go to www.myuhc.com for a complete and up-to-date Prescription Drug
Listing (PDL) information. This website is the best source for up-to-date
information about the medications your pharmacy beneit covers, possible
lower-cost options, and how the cost of medications compare. Be sure to
check this listing before your coverage begins with UHC.
Retail
Prescription Drug Plan * (30 day) Mail Order
(90 day)
Tier 1 $10 $20
Tier 2 $30 $60
Tier 3 $50 $100
* Copayments apply to preventive prescriptions immediately, copayments apply to all other
prescriptions once the deductible has been met
7
