Prescription Drug Plan - Active Employee | University of Texas System

Prescription Drug Plan - Active Employee

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.

(does not apply to medical plan deductible)

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)
$10 $35 $50
Home Delivery Pharmacy:
Up to a 90-day supply. Refills allowed as prescribed.
(best option for maintenance medication)
$20 $87.50 $125


Prescription Drug Video

UT SELECT Medical Plan Guide

Prescription Drug Co-payments at a glance

> Prescription Drug Formulary   

> Express Scripts Website



(800) 818-0155
Express Scripts
ATTN: Commercial Claims
PO BOX 2872
Clinton, IA 52733-2872

Prescription Drug Reimbursement Form

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 or call Express Scripts Customer Service ( 1- 800-818-0155 ) for current information on specific medications. © 2017 The University of Texas System.
601 Colorado Street, Austin, Texas 78701-2982. (512) 499-4200