New Prescription Drug Plan

OptumRx, a UnitedHealthcare subsidiary, is now Columbia University's prescription drug provider. Note: There is no change to the preventive drug list for 2017.

Your 2017 UHC ID card includes both medical and prescription information. If you have not received your new UHC card yet, please visit myUHC.com to print a temporary card.

Is a Drug “Single-Source” or “Multi-Source”?

  • If both a generic and brand name prescription  are available, this is a multi-source drug.
  • If no generic is available, this is a single-source drug.

To find out if a drug is single-source or multi-source, ask your pharmacist or contact OptumRx at 800-232-9357 or www.myuhc.com. Keep in mind that your prescription may move from “single-source” to “multi-source” during the year if the U.S. Food and Drug Administration (FDA) approves a generic equivalent drug.

Specialty  medications   must  be  ordered   through  BriovaRx,  an  OptumRx  Specialty  Pharmacy. BriovaRx  will  mail  your prescription to you at the address of your choice. For your privacy, the package is delivered in a non-labeled  box. Call 855-427-4682 to speak to a patient care representative.

 

Prescription Drug Copays

Retail pharmacy
(up to 30-day supply)
  • $10 generic
  • $25 single-source brand (product not available in generic)
  • $45 multi-source brand (generic and brand both available)
Mail-order
(up to 90-day supply)

Specialty medications must be ordered through BriovaRx
Specialty Pharmacy.
  • $15 generic
  • $50 single-source brand (product not available in generic)
  • $90 multi-source  brand (generic and brand both available)

 

Using Your Prescription Drug Benefit

OptumRx administers the Prescription Drug benefits plan. After you enroll in medical benefits, you will receive a Medical ID card which will include your medical and prescription drug plan information.

Retail

You will need to present your ID card at the pharmacy  the first time you fill a prescription.  You can have up to a 30-day supply of your prescription when filled at a retail pharmacy.

  • In New York, New Jersey and certain other states, the pharmacy is required by law to substitute a brand name drug with a generic.  If the cost of the generic  drug is less than $10,  you will only pay the cost of the drug.
  • If your physician  prescribes  the brand-name drug instead of the generic, then you will pay the highest copay, $45.  Your physician must request the pharmacist “Dispense as Written” to receive the brand-name drug.
  • If no generic  is available for your prescription,  then your drug  is a single-source prescription. Your copay will be $25.  You may find participating pharmacies at www.myuhc.com or by calling 800-232-9357.

Mail-Order

Mail-order copays are for up to a 90-day supply. If you take  medication on a regular basis for conditions such as high blood pressure or asthma, the mail-order option will be less expensive than the retail option. To use mail-order, go to www.myuhc.com or call 800-232-9357.

After you have enrolled in the OptumRx mail-order program, you can refill prescriptions easily, either online or over the phone. If you are taking a specialty medication, contact BriovaRx at 855-427-4682.
If you use a pharmacy other than BriovaRx, you will be subject to the full cost of the medication  instead of mail-order copays.