Maintenance medications
Quick links:
How to read your prescription drug formulary
Maintenance medications, those used to treat chronic health conditions, must be filled by the health system pharmacy for at least a 90-day supply (as allowed by state/federal laws) to receive coverage. If you fill a maintenance medication outside the health system pharmacy, including an in-network pharmacy, you will pay the full cost of the medication, and this amount will not apply toward your deductible or out-of-pocket maximum.
Maintenance medications are provided exclusively through home delivery from the health system pharmacy for added convenience for you and your family; delivering medications straight 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.
How to fill new maintenance prescriptions at the health system pharmacy
Simply ask your provider to send an electronic prescription to:
Southlake Retail Pharmacy
11300 Corporate Ave., Lenexa, KS 66219
913-574-0600
A pharmacist will call you with any questions about the prescription.
To see if your medication falls into this category, please review the maintenance drug list. Some maintenance medications used for chronic conditions or to lower the risk of developing a chronic condition are included on the list of preventive drugs. If you are on the HSA Advantage Plan, you pay the copay listed for the Signature Plan for medications on the preventive drug list, which is typically lower than the deductible plus coinsurance.
Maintenance medication costs under the HSA Advantage Plan
For medications on the preventive drug list, you pay the same copay as the Signature Plan (see chart below). For all other medications, you pay the full cost until you reach your annual deductible. After that, you pay 10% coinsurance with the health system pharmacy.
Maintenance medication costs under the Signature Plan
Health system pharmacy
In-network pharmacy
Cost tier
Up to 34 day supply
35-102 day supply
Up to 34 day supply
35-102 day supply
Tier 1 $
$5.00
$10.00
Only covered when filled
by health system pharmacy.
Tier 2 $$
$30.00
$60.00
Tier 3 $$$
$65.00
$130.00
Tier 4 $$$$
$100.00
$200.00
Health system pharmacy | In-network pharmacy | |||
Cost tier | Up to 34 day supply | 35-102 day supply | Up to 34 day supply | 35-102 day supply |
Tier 1 $ | $5.00 | $10.00 | Only covered when filled | |
Tier 2 $$ | $30.00 | $60.00 | ||
Tier 3 $$$ | $65.00 | $130.00 | ||
Tier 4 $$$$ | $100.00 | $200.00 | ||
Important information about controlled substances
Controlled substances may be picked-up at any health system location or delivered to a preferred address. Please note if you choose to have it delivered to a preferred address, a signature is required.
- If an adult will not be home to sign for the delivery, you can have it delivered to a FedEx hold-at/pick-up location. They’ll accept the package and hold it until you can pick it up. At that time, you’ll need to show a government-issued photo ID.
- Anyone who lives at your same address can pick up your medication. They will need:
- the tracking number
- a government-issued photo ID to prove they live at the same address as the one on the package label.
- They can also use an alternative document together with their photo ID to prove residency. Things like a utility bill or statement, health or auto insurance card, property statement from a county or city website, or credit card statement.