Pharmacy Resource Guide – Section 2

Following are changes to your pharmacy benefits for maintenance and specialty medications.

FOR ALL EMPLOYEES
Maintenance medication changes effective June 1, 2024:

• All maintenance medications must be filled for at least a 90-day supply. To prepare for this change, when your provider writes new prescriptions for your maintenance medications, ask for a three-month supply. This requirement only applies to those prescriptions allowed by state and federal laws to be filled for 90 days. 
• Maintenance medications must be delivered from the health system pharmacy to your preferred address (not a work address). You may have your prescriptions sent to your home, another preferred address or a FedEx hold-at/pickup location at no additional cost. Controlled substances may be delivered to homes with a signature required. If you can’t be home to accept delivery, use a FedEx hold-at/pick-up location. If you have been picking up your maintenance medications at a health system pharmacy, take these steps in MyChart to switch to delivery, using your smartphone or computer. Delivery is free through Southlake Retail Pharmacy.
• To see if your medication falls into this category, please review the maintenance drug list.
  

Specialty medication changes effective January 1, 2024:
Which specialty pharmacy you use will depend on who prescribes your specialty medication:

• If the prescription is written by a provider at The University of Kansas Health System (excluding Olathe Health), the employee/dependent must use the health system pharmacy. 
• If the prescription is written by a provider at Olathe Health or outside the health system, the employee/dependent must use the Navitus preferred specialty pharmacy. Find a Navitus preferred specialty pharmacy through the Navitus member website or mobile app. 

FOR EMPLOYEES AT OLATHE HEALTH LOCATIONS
Maintenance medication changes effective June 1, 2024, for employees at Olathe Health locations:

Beginning June 1, maintenance medications filled outside the health system pharmacy will not be covered. The sooner you transition your prescriptions, the sooner you can take advantage of lower copays and coinsurance provided by the health system pharmacy.

What you need to do: 

• Ask your prescriber to send a new electronic prescription to The University of Kansas Health System Southlake Retail Pharmacy.  
• We recommend sending prescriptions for at least a 90-day supply, which will be a requirement starting June 1. 
• Do this at least 4 weeks prior to running out of the medication. This allows time for the pharmacy to gather additional information and/or authorization that may be needed. 
• To save time, contact the pharmacy after the prescription has been sent at MyRPh@kumc.edu to ensure they have your preferred delivery address and payment information (for your copay or coinsurance). Delivery is free through Southlake Retail Pharmacy.