University Health Center Pharmacy

UHC Pharmacy is provided for students with SHIP ONLY. UHC has a dispensary where basic medications that are prescribed by UHC staff are available. Providers can write prescriptions for medications not available and for students without SHIP to take to their pharmacy. UHC will supply over counter medications to all students as instructed by provider.

Pharmacies near by MSU Rite Aide, CVS Pharmacy

Prescription Drug Benefit

 PRESCRIPTION DRUG BENEFIT SCHEDULE

 

Network Providers                                                                       Non-Network

Retail 30-Day Supply

 

Tier 1 Generic Drugs                                                                         

$15 copayment +20%                                                                     $15 copayment + 30%

Tier 2 Preferred Drugs                                                                      

 $30 copayment                                                                              $30 copayment + 30%

Tier 3 Non-Formulary                                                                        

$50 copayment + 20%                                                                    $50 copayment + 30%

Contraceptive                                                                                                      

100%                                                                                              100%

 

MAIL ORDER 90- DAY SUPPLY (PRIOR AUTHORIZATION REQUIRED)

Tier 1 Generic Drugs                                                                        

$37.50 copayment + 20%                                                                 $ 37.50 copayment + 30%

Tier 2 Preferred Drugs                                                                     

$75.00 copayment + 20%                                                                 $75.00 copayment + 30%

Tier 3 Non-Formaulary                                                                 

$ 125.00 copayment + 20%                                                              $125.00 copayment + 30%