Prescription Plan
All SHCS enrollees have a $10,000 maximum pharmacy benefit per policy year. Enrollees may purchase prescribed medications from any Express-Scripts pharmacy (including PH Pharmacy, Walgreens and Safeway) for a $15 co-pay for each 30-day supply for generic medications and a $25 co-pay for a brand-name medication. Enrollees may also purchase prescriptions via mail order at no additional charge.
Prescription Plan
| 30-day Supply Prescription Co-pay: | $15 for generic meds / $25 for brand-name meds (w/out a generic) |
| Maximum Annual Benefit: | $10,000 |
Policy Numbers & Network
| Billing | Enrollee ID # | Group Policy # | Network |
| Personal Insurance Administrators, Inc. P.O. Box 6040 Agoura Hills, CA 91376-6040 Tel: 1-800-468-4343 |
Download |
RQSR | Express-Scripts |
To submit a prescription claim form for reimbursement, download the Prescription Claim Form.
Insurance Brochure
Please refer to pages 15 of the UCSF 2008-2009 Student Insurance Plan brochure for a description of your prescription benefits.
Patient Assistance Program
Programs called PAPs (patient assistance programs) provide free or low-cost medicine to qualifying patients who can not afford to pay for their medications. A number of patient assistance programs provide financial aide to patients who lack adequate prescription coverage and earn less than 200% of the federal poverty level. Based on the individual qualifying criteria, the patient will be directed to the programs that most likely meet their need. For additional information, please visit their websites: www.needymeds.com and www.pparx.org. To inquire about the PAPs and prescriptions at Student Health and Counseling, please email shs@ucsf.edu.
Frequently Asked Questions
Q: How do I get prescribed a new prescription?
A: In order to get a new prescription, you must schedule an appointment with a provider at Student Health and Counseling. To schedule an appointment, call 415-476-1281.
Q: How do I get a refill on an existing prescription?
A: See Prescription Request to get a refill on an existing prescription.
Q: Which birth control prescriptions can be filled at SHCS?
A: Orthocyclen, Orthotricyclen, Orthotricyclen Lo and Plan B may be filled at SHCS. All birth control pills sold at SHCS are $8 each. Plan B is $20. (Plan B does not require a prescription.)
