Specialty medications
Use the health system pharmacy for pick-up or delivery
Specialty medications, used to treat complex, chronic health conditions, must be filled by the health system pharmacy for a maximum of a 30-day supply, unless otherwise noted by the formulary. If you choose to fill your specialty prescription outside the health system pharmacy, you will pay the full cost of the medication. This amount will not apply toward your deductible or out-of-pocket maximum.
How to fill new specialty prescriptions at the health system pharmacy
To see if your medication falls into the specialty category, look for S on the prescription drug formulary in the column labeled “limits & restrictions”.
If it does, ask your provider to send a new electronic prescription to:
The University of Kansas Health System Southlake Retail Pharmacy
11300 Corporate Ave., Lenexa, KS 66219
913-574-0600- A pharmacy team member will call you to discuss your medication and answer questions.
What specialty medications cost
Signature Plan members:
- You pay the copay based on the medication tier, as listed in the prescription drug formulary.
Health system pharmacy In-network pharmacy Specialty prescriptions Up to 30-day supply Up to 30-day supply Up to 30-day supply Up to 30-day supply Tier 1 $ $20.00 Specialty Health system pharmacy is exclusive provider Tier 2 $$ $100.00 Tier 3 $$$ $200.00
medications may
only be filled for
30 days or less.
HSA Advantage Plan members:
- For specialty medications, you pay the full cost until you reach your annual deductible. After that, you pay 10% coinsurance with the health system pharmacy.
- Copay cards or manufacturer assistance cards for specialty and high-cost brand medications cannot be used until you have met your deductible for the HSA Advantage Plan, and these amounts do not apply to your maximum out of pocket for the HSA Advantage or Signature Plan.