Pharmacy Resource Guide – Section 7

     Maintenance medications

To view the list of covered medications; how to read your prescription drug formulary

Maintenance medications, those used to treat chronic health conditions, must be filled by the health system pharmacy 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. This amount will not apply toward your deductible or out-of-pocket maximum.

Olathe Health employees have until May 31, 2024, to have their providers send a new electronic prescription to The University of Kansas Health System Southlake Pharmacy for maintenance medications. To take advantage of the lower health system cost, transition your prescriptions as soon as possible.

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.

Signature Plan members can fill a three-month supply of their medications, when applicable, for the same cost as two months. Save by asking your provider to issue prescriptions for at least a 90-day supply.

Employees at Olathe Health locations using maintenance medications: Check the health plan’s formulary by March 15, 2024, to see if your existing medication requires your prescriber to send additional information to Navitus. Get more information.

HSA Advantage Plan*

Signature Plan

Medication Type

Health system pharmacy

In-network pharmacy 

Health system pharmacy

In-network pharmacy

Maintenance prescriptions

Up to a 102 DAY SUPPLY

Maintenance
prescriptions
NOT COVERED
at in-network
pharmacies

Up to a 34
DAY SUPPLY

35-102
DAY SUPPLY

Maintenance
prescriptions
NOT COVERED
at in-network
pharmacies

Generic / Tier 1

10%
(after deductible)^^

$5

$10

Preferred brand / Tier 2

$30

$60

Nonpreferred brand / Tier 3

$65

$130

*Certain medications used for chronic conditions or risk reduction are included in the preventive drug list. HSA Advantage Plan members will pay Signature Plan copays for
medications on this list. These copays will not apply to the HSA Advantage Plan deductible but will apply to the out-of-pocket maximum.
^^ HSA Advantage Plan members will pay 100% until their deductible is met, then pay the indicated percentage coinsurance until their out-of-pocket maximum is reached.

Free delivery service

Learn more about the health system pharmacy’s free delivery service for maintenance medications.

Prefer to visit the pharmacy in person? You still have the option to pick up your prescriptions with the health system pharmacy. This will be available for maintenance medications through May 31, 2024; after that maintenance medications must be delivered.

Ask your provider to submit the prescription to Bell Hospital Tower, Indian Creek Retail Pharmacy, Cambridge Tower A, or Westwood Medical Pavilion. Please note that Southlake does not have a waiting area, so pickups are easier at other health system pharmacy locations.