Pharmacy Benefits 2023-2024

Student Health Insurance Plan Pharmacy Benefit

Use UnitedHealthcare (OptumRx) participating pharmacies and present your insurance ID card. The Campus Health Pharmacy is a participating pharmacy under the plan.

NOTE: Effective Friday, June 28, 2024, Campus Health will no longer offer pharmacy services, which includes filling prescriptions. Patients must pick up their medications from the Campus health Pharmacy no later than 12:30 pm on Thursday 6/27/24. After that, the Campus Health Pharmacy will be closed to students, faculty, and staff.

  • Closest to Campus:
    • CVS – Store ID: #10184
      825 E University Blvd, Suite 101
      Tucson, AZ 85719
      Phone: (520) 624-4519
  • Other In-Network Pharmacies include:
    • Safeway Pharmacy
    • Banner Family Pharmacy
    • Walgreens Pharmacy
    • El Rio Pharmacy
    • Fry’s Food and Drug

 

  • Use UnitedHealthcare (OptumRx) participating pharmacies and present your insurance ID card.
  • UnitedHealthcare online provider directory: www.uhcsr.com/arizona 
  • Preferred Care Policy Year Out-of-Pocket Maximum: Combined Medical & Pharmacy $1,500 (includes copayments, deductible, and coinsurance)
  • 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 Copay Schedule

  • Tier 1: $15 copay
  • Tier 2: $40 copay
  • Tier 3: $80 copay

Contraceptives

Generic contraceptives are covered at 100%.

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 Prior Authorization, Step Therapy, or Specialty Pharmacy: Please call Optum Transition of Care team at 1-800-356-3477 or sign into your UHCSR "My Account".