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Prescription Drug Program

If you elect medical coverage, you are automatically enrolled in the prescription drug program.

State of Delaware Prescription Coverage

  Generic1 Preferred Brand2 Non-Preferred Brand3
30-Day Supply $8.50 $20.00 $45.00
90-Day Supply
$17.00 $40.00
$90.00
1 Tier one covers generic products
2 Tier two covers preferred brand name (formulary) drugs
3 Tier three covers non-preferred brand (non-formulary) drugs.

Members must obtain maintenance medications as 90-day fills at a 90-day participating pharmacy or Medco-by-Mail to avoid paying a penalty after a third 30-day fill. Additional information on this program, a list of 90-day participating pharmacies, and information on Medco-by-Mail may be obtained at http://ben.omb.delaware.gov/script/index.shtml. (If the strength of a current prescription is changed, it is considered a NEW prescription.)


Generic Plus Choice Program
If you purchase a brand name medication when a generic is available, you will pay the difference in price between the generic and brand drug, in addition to the generic co-pay (see example below). This provision applies regardless of whether your prescription is written for a brand name drug and designated "dispense as written".

  Drug Cost Employee Share University Share
Generic Equivalent $30.00 $8.50 $21.50
Brand Drug $50.00 $28.50 ($8.50 + $20.00) $21.50


Plan Administrator
Medco Health Solutions, Inc., (Medco)
Member Services 1-800-939-2142
Available 24 hours a day, 7 days a week, 363 days a year
(Closed Thanksgiving and Christmas Days)
Pharmacists available around the clock

For more information:

  • Prescription Drug Program Handbook
  • Sample ID Card MUST be used to obtain prescription at retail pharmacy
  • 90-Day Participating Pharmacies in Delaware
  • 90-Day Participating Pharmacies Outside of Delaware
  • Complete Preferred Drug Formulary
  • Formulary of Preferred Prescriptions Effective January 1, 2012
  • Medco website
  • Preventive Medications at Zero Copay for CDH Gold Plan Members
  • Specialty Pharmacy
  • Mail order form
  • Coordination of Benefits Claim Form Medco's Coordination of Benefits/Direct Claim Form may also be requested by calling Medco's Customer Services at 1-800-939-2142. The completed form with receipts should be mailed to the address provided on the form.
University of Delaware
  • University of Delaware   •   Newark, DE 19716   •   USA
    Phone: (302) 831-2171   •   © 2011
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