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Employee Health Care Plan – Prescription Drug Coverage

Prescription drug coverage is the same in each Plan Design option and is provided through CVS Caremark.

  • Purchase prescription drugs using your Health Plan Identification Card at participating pharmacies.
  • At University Health Care Pharmacies you pay 20% (minimum $3) for covered generic and brand name prescription drugs.
  • At other CVS Caremark Participating Pharmacies you pay 25% (minimum $3) for covered generic and preferred brand name prescription drugs and 35% (minimum $3) for covered non-preferred brand name prescription drugs.
  • At Non-Participating Pharmacies you pay 100% of the cost, then submit receipts to CVS Caremark. You will need to file a paper Request for Reimbursement form, then the plan will reimburse up to the amount it would have paid a CVS Caremark Participating Pharmacy. 
  • Mail Order is available through University Health Care Pharmacies for individuals residing within the State of Utah.
  • The plan will pay 100% of eligible charges after the plan has paid $4,000 for one individual ($12,000 for family).
  • If a generic drug is available, but you choose to purchase the brand name drug, the plan will pay its share of the generic cost.
  • The University Health Care Plan only allows Coordination of Prescription Drug Benefits between two University plans. To be eligible for coordination of prescription drug benefits, individuals must either have health coverage as an employee of the University and be covered as the spouse of another University employee, or be covered as a dependent child by two University employees.

Prescription drug coverage under the plan is creditable coverage under Medicare D. Employees and their family members who are eligible for Medicare do not need to enroll in Medicare D coverage as long as they remain enrolled in the employee health care plan.

For more information, visit the University's CVS Caremark website.

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