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UT SELECT Prescription Drug Plan non-Medicare

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If you have retiree coverage and are Medicare-eligible, please click here.

ANNUAL DEDUCTIBLE  
(does not apply to medical plan deductible) 

$100/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. (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

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 continues to offer your current UT SELECT prescription drug benefit, and enrollment in Medicare Part D 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 Medicare Part D program or a Medicare Advantage Plan with prescription drug coverage. For a relatively small number of very low-income UT retirees, enrolling in Medicare Part D may save money if the retiree also qualifies for a “low income subsidy” provided as part of the Medicaid Part D Program. Please see the  Medicare Part D Notice of Creditable Coverage . For more information about the low income subsidy, call 1-800-772-1213 or visit  www.socialsecurity.gov .


 

Resources

Contact

CUSTOMER SERVICE (800) 818-0155  

CLAIMS ADDRESS 

Express Scripts
ATTN: Commercial Claims
P.O. Box 14711
Lexington, KY 40512-4711