UPHS_Enrollment_Flipbook_Print_Version

Prescription DrugsWhen you enroll in any of the UPHSflex medical options, you automatically receive prescriptiondrug coverage through CVS Caremark. Benefits include coverage for prescriptions purchased atUPHS pharmacies, retail pharmacies and through the PENN Radnor or CVS Caremark mail order.Mail OrderYou are required to fill your maintenancemedications either at a UPHS pharmacy orthrough the PENN Radnor or CVS Caremarkmail order program. It allows you to receive a90-day supply of your maintenance medicationfor one copay. Mail order prescriptions aremailed to the address of your choice. Mailorder is available through PENN Medicine atRadnor and CVS Caremark.Retail PharmaciesYou can fill your prescriptions for a 30- or 90-daysupply at any of the UPHS pharmacies for alower copay, or you can fill your prescription atany of the CVS Caremark national networkpharmacies.Participating UPHS PharmaciesHospital of theUniversity ofPennsylvania3400 Spruce Street1 Ravdin215-662-2920Pennsylvania HospitalOutpatient Pharmacy800 Spruce StreetSpruce BuildingFirst Floor215-829-5873PENN PresbyterianMedical CenterOutpatient Pharmacy39 th and Market StreetsMedical Office Building(MOB)215-662-9494PENN Medicine atRadnorOutpatient Pharmacy andMail Order Services250 King of Prussia Road2 nd FloorRadnor610-902-1700All employees enrolled in any of the UPHSflex medical options are automatically enrolled inprescription drug coverage through CVS Caremark. Remember, your out-of-pocket costs will belower if you use an in-house UPHS Pharmacy.UPHS Pharmacy30-day SupplyRetailPharmacy90-day SupplyUPHS Pharmacy orPenn Medicine atRadnor Mail OrderCVS CaremarkMail OrderGeneric $5 $15 $10 $30Preferred $15 $30 $30 $60Non-Preferred $30 $45 $60 $9012