Prescription Drugs

What You Need to Know

When you need a prescription filled, your most convenient option will be the Student Health Pharmacy, where your copay will typically be lowest.

Optum Rx administers your pharmacy benefit, so when you’re away from campus and need a prescription filled, you’ll usually pay less when you use a retail pharmacy in the Optum Rx nationwide retail pharmacy network versus an out-of-network pharmacy.

If you have your prescription filled at a pharmacy outside the SHC, be sure you show your Anthem member ID card.

How Your Prescription Drug Coverage Works

What you pay for your prescription (your copay) is based on medication type: generic, brand-name formulary, brand-name non-formulary, or specialty. The formulary [PDF] is the list of medications that UC SHIP covers.

What you pay for prescription drug costs counts toward your combined medical and pharmacy annual out-of-pocket limit. Once your costs reach that limit, UC SHIP will pay 100% of your pharmacy costs for the remainder of the year.

Oral Contraceptives Are Free

You’ll pay nothing for FDA-approved generic oral contraceptives and brand-name oral contraceptives (when there’s no generic equivalent). Coverage is for a 180-day supply.

You’ll find coverage details below. For more information, review the UC Santa Barbara Prescription Drug Plan booklet [PDF].

Your annual limit on out-of-pocket costs includes your prescription drug copays and medical costs.

Student Health Pharmacy

Copays below are for a 30-day supply.

Generic Drugs
Brand-Name Formulary Drugs
Brand-Name Non-Formulary Drugs
Specialty Medications
Copay
$5 copay
$25 copay
$40 copay
$40 copay
Network Pharmacies

Network pharmacies include retail pharmacies in the Optum Rx network, including CVS and Walgreens. To find a list of Optum Rx pharmacies near you, sign in to the Optum Rx website.

Annual Limit on Your Out-of-Pocket Costs (Costs accumulate together with SHC and out-of-network provider costs.)
You Pay
Individual: $6,600
Family: $13,200

Copays below are for a 30-day supply.

Generic Drugs
Brand-Name Formulary Drugs
Brand-Name Non-Formulary Drugs
Specialty Medications
Copay
$5 copay plus 50% of drug cost
$25 copay plus 50% of drug cost
$40 copay plus 50% of drug cost
10% up to $250

Out-of-Network Pharmacies

When you fill your prescription at an out-of-network pharmacy, you will pay the entire amount of the prescription and then submit the online Optum Rx prescription drug claim form for reimbursement. You can also download a PDF of the Optum Rx prescription drug claim form [PDF]. The pharmacist must complete and sign the claim form to ensure the claim is properly processed. Your reimbursement could be less than what you paid for the medication.

Annual Limit on Your Out-of-Pocket Costs (Costs accumulate together with SHC and network provider costs.)
You Pay
Individual: $9,000
Family: $18,000

Copays below are for a 30-day supply.

Generic Drugs
Brand-Name Formulary Drugs
Brand-Name Non-Formulary Drugs
Specialty Medications
Copay
$5 copay1
$25 copay plus 50% of drug cost1
$40 copay plus 50% of drug cost1
10% up to $2501
1. You will also pay any amount above the Optum Rx maximum allowed amount.

Contacts

Student Health Services (SHS)

Your first stop for care on campus
Main number: (805) 893-3371
Counseling and Psychological Services (CAPS): (805) 893-4411
Alcohol and Drug Program: (805) 893-5013
SHS website
SHS email
M/C 7002
Santa Barbara, CA 93106-7002

Optum Rx

Prescription drug plan benefits
(844) 265-1879