Prescription Plan

Express ScriptsAll 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.