Arizona Board of Regents Student Health Insurance Plan Pharmacy Benefits
Use UnitedHealthcare participating pharmacies & present your insurance ID card.
The UA Campus Health Pharmacy is a participating pharmacy under the plan.
UnitedHealthcare online provider directory: www.uhcsr.com/arizona
Preferred Care Policy Year Out-of-Pocket Maximum: Combined Medical & Pharmacy $1,500 (includes co-payments, deductible, and co-insurance)
Policy Year Pharmacy Deductible: $125 (waived at the UA Campus Health Pharmacy)
Additional UnitedHealthcare Pharmacy Plan information can be found at www.uhcsr.com/arizona under Helpful Links.
Prescription Co-pay Schedule
- Tier 1: $ 15 co-pay
- Tier 2: $40 co-pay
- Tier 3: $80 co-pay
Contraceptives
Generic contraceptive is covered at 100%
Important Note: Brand-name contraceptive prescription drugs or devices from a preferred provider will be covered at 100% of the negotiated charge, including waiver of per policy year pharmacy deductible if a generic contraceptive prescription drug or device is not available in the same therapeutic drug class or the prescriber specifies dispense as written.
Transition of Care
Transition of Care for medications/prescriptions that require pre-authorization, step-therapy, or Specialty Pharmacy; call UHC Transition of Care team at 1-800-356-3477 or sign into your UHC My Account.