Prescription Drug Coverage

Prescription Drug Coverage

Enrollment in a medical plan automatically gives you prescription drug benefits. Visit myuhc.com and log in to find a pharmacy, search the Prescription Drug List (PDL) or to price your medication. While there are many UHC in-network pharmacies, the CUMC Clinic Pharmacy will save you money with preferred co-pays, provide you with outstanding service, and deliver to offices on campus.

CCAP

ANY UHC NETWORK PHARMACY (INCLUDING CUMC PHARMACY)

31 or 90 Day Supply Cost

Tier 1

20% after deductible; 100%
covered once out-of-pocket maximum
has been reached.

Tier 2

Tier 3

PPO 1 & PPO 2 Coverage

                  CUMC

OPTUMRX NETWORK

31-Day Supply

Tier 1

$10.00

$12.50

Tier 2

25% ($100 max)

30% ($100 max)

Tier 3

35% ($150 max)

40% ($150 max)

90-Day Supply

Tier 1

$22.50

$22.50

Tier 2

25% ($300 max)

25% ($300 max)

Tier 3

35% ($350 max)

35% ($450 max)