If you have retiree coverage and are Medicare-eligible, please view the UT CARE Part D Prescription Plan (Medicare).
GLP-1 Availability at Mail for UT SELECT™ Members
Effective 12/1/24 ESI mail order pharmacy will temporarily not be accepting new patient prescriptions for GLP-1 prescription orders due to drug shortages. For new patient orders of GLP-1 medications that have not previously been filled via mail order, please utilize your in-network retail pharmacy.
|
ANNUAL DEDUCTIBLE
(does not apply to medical plan deductible) |
$200/person/year | ||
| 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. (a good option for new prescriptions) |
$10 | $35 | $60 |
| Home Delivery Pharmacy: Up to a 90-day supply. Refills allowed as prescribed. (best option for maintenance medication) |
$20 | $87.50 | $150 |
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 www.express-scripts.com/ut or call Express Scripts Customer Service (1-800-818-0155) for current information on specific medications.
Your Prescription Drug Plan and Medicare Part D
The Federal Medicare program provides a Medicare-approved prescription drug benefit – Medicare Part D. The University of Texas System offers the UT CARE Part D prescription drug benefit for non-working retirees and the UT SELECT prescription drug benefit for actively employed retirees. Enrollment in a private or outside Medicare Part D plan will have a negative financial impact for most UT participants with coverage through active employment.
UT strongly urges you NOT to enroll in a private or outside Medicare Part D program or a Medicare Advantage Plan with prescription drug coverage as this may impact your eligibility under federal rules to retain your UT medical and prescription coverage. For a relatively small number of very low-income UT retirees, they may save money if the retiree also qualifies for a “low-income subsidy” provided as part of the Medicare Part D Program. For more information about the low-income subsidy, call 1-800-772-1213 or visit www.socialsecurity.gov.
