Prescription Drug Coverage
As a member of the Boston University Health Plan, you will automatically be enrolled in the Medco Health Prescription Drug Coverage.
Prescription copayments vary depending on whether your prescribed medication is a generic, preferred brand-name, or nonpreferred brand-name drug. Preferred brand-name medications are selected based on their clinical effectiveness and opportunities for savings). An independent Pharmacy and Therapeutics Committee updates this list regularly based on continuous evaluation of medications.
Members can determine whether their brand-name medications are preferred or non-preferred by logging into the Medco website and choosing the Drug Information option.
The copayment for preferred brand-name drugs will be $20 for up to a 30-day supply at a retail pharmacy.
If your prescription is a nonpreferred brand-name drug, your copayment will be $35 for up to a 30-day supply at a retail pharmacy.
Many preferred and nonpreferred brand-name drugs have a generic alternative. If you use the generic drug, your copayment will be $10 for up to a 30-day supply at a retail pharmacy.
Prior Authorization — The plan covers medically necessary prescription medication. Some drugs require prior authorization in order to be covered by the plan. Visit the Medco website and click on “Drug Information” to find out about a specific medication.
Retail Pharmacy — If you need short-term medication (perhaps for the flu or an ear infection), under the Retail Network Pharmacy Service you can take your prescription to almost any major chain (CVS, Walgreens, Wal-Mart, Brooks, Costco, Eckerd, Osco, etc.) and many independent pharmacies, show your ID card, pay your co-payment, and go home with your prescription.
| Type of Medication | Up to a 30-Day Supply |
|---|---|
| Generic drugs | $10 |
| Preferred brand-name drugs | $20 |
| Nonpreferred brand-name drugs | $35 |
Home Delivery Pharmacy Service — If you take medication for a chronic condition, such as diabetes or asthma, you can get a prescription from your doctor for a 90-day supply plus refills for the rest of the year, and then order your medication through the Home Delivery Pharmacy Service. You can place your order by mail, online, over the phone, or by having your physician fax the prescription to Medco Health. There are no shipping costs unless you request express shipping. Regular mail takes 7–11 days from the date you place your order; it’s faster if you order by phone, internet, or fax. A refill slip, including the date you can order the next refill, will come with every order. It’s safe, easy, and the lowest cost way to purchase your medication.
| Type of Medication | 90-Day Supply |
|---|---|
| Generic drugs | $20 |
| Preferred brand-name drugs | $40 |
| Nonpreferred brand-name drugs | $70 |
Contact Information
- Medco Health website: www.medcohealth.com
Customer Service: 1-800-230-0508 - To refill a Home Delivery Pharmacy Service using the automated system: 1-800-4REFILL (1-800-473-3455)