Prescription Plan
All SHCS enrollees have a $10,000 maximum pharmacy benefit per policy year. Enrollees may purchase prescribed medications from any pharmacy, but will receive the greatest benefit from an in-network pharmacy.
On the UC SHIP website, you can find details and important information about your plan as well as contact information and network providers.
Prescription & Pharmacy
| Billing | Member ID | Group Policy | Network |
| Anthem Pharmacy Prescription Drug Program P.O. Box 4165 Woodland Hills, CA 91365-4165 1-866-297-1013 |
Download it (on the My Health tab) or call: 1-800-853-5899 | 275958 | Anthem/Express Scripts Includes Safeway, Costco, Rite Aide and CVS. Tel: 1-866-297-1013 |
Benefits for Students
| IN-NETWORK | OUT-OF-NETWORK | |
| Generic | $5 co-pay | $5, then 60% of billed charges |
| Brand | $25 co-pay | $25, then 60% of billed charges |
| Non-formulary Brand | $40 co-pay | $40, then 60% of billed charges |
| Mail Order (90 day supply) | $10 generic $50 brand $80 non-formulary brand |
Not determined at this time. |
| Prescription Benefit Year Maximum | $10,000 | $10,000 |
Benefits for Dependents
| IN-NETWORK | OUT-OF-NETWORK | |
| Generic | $5 co-pay | Not Covered |
| Brand | 70% | Not Covered |
| Non-formulary Brand | 70% | Not Covered |
| Mail Order | $10 generic 70% brand 70% non-formulary brand |
Not Covered |
| Prescription Benefit Year Maximum | $10,000 | Not Covered |
Prescription Reimbursement
Students can get partial reimbursement for medication obtained outside of network pharmacies. Students must mail a Prescription Claim Form with the appropriate portion completed by the pharmacist to the claims administrator within 90 days of the date of purchase. If it is not reasonably possible to submit within that time frame, an extension of up to 12 months will be allowed. Prescription claim forms and customer service are available by calling 1-800-888-2108.
Mail Order
To receive your prescriptions via Mail Order at a discounted, bulk rate with free standard shipping, please mail or fax your request to Express Scripts. You must first register on the Anthem website as information on the member's other medications (prescription and over the counter), allergies, health conditions, and method of payment are required prior to filling a script. Once you've registered and updated your information, print your customized web prescription order form and mail it along with your new prescription to Express Scripts (address below) or give it to your physician to fax to Express Scripts.
Express Scripts
PO Box 66558
St. Louis, MO 63166-6558
Tel: 1-866-297-1013
Out-of-California Network
When out-of-California, students can locate a participating pharmacy by calling 1-800-700-2541. If students cannot locate a participating pharmacy, they can pay for the drug and submit a Prescription Claim Form to the claims administrators.
Anthem Formulary
Download the Approved Formulary Drug List and the Specialty Formulary online.
Insurance Brochure
Please refer to the Prescription Insurance Summary or Insurance Brochure for more details.
