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Benefits Plans - Prescription Drug Plan: Special Voluntary Programs

U-M Prescription Drug Plan members may receive notification about participating in a voluntary prescription drug program. Members are eligible for these programs based on specific selection criteria. Some members are notified by U.S. mail, others may notice an automatic discount co-pay on a prescription. Below are short descriptions of the programs and member contact information for each program.

• U-M Diabetes Medication Cost-Reduction Program
• Pill-Splitting Incentive Program

U-M Diabetes Medication Cost-Reduction Program

Co-pay discount on a select list of medications
Sponsors: U-M Benefits Office.
Web site: http://hr.umich.edu/mhealthy/programs/disease/diabetes.html
Phone: 866-715-0874 informedRx/SXC Member Services Help Desk
Email: benefitsoffice@umich.edu

All members of the U-M Prescription Drug Plan are eligible for zero co-pay for insulin and diabetic supplies (see benefits.umich.edu/plans/drugs/coverage.html). In addition, University of Michigan active employee members and their dependents using a prescription for insulin or an oral anti-diabetic medication are eligible for the Diabetes Medication Cost-Reduction Program. The program provides reduced co-pays for oral anti-diabetic medications, anti-hypertensive medications, and medications for the treatment of high cholesterol. Co-pay reductions end January 1, 2009 for antidepressants.

Below are examples of common drug products in the Diabetes Medication Cost-Reduction Program.  A more complete list of products in the program can be found at benefits.umich.edu/forms/drugclass.pdf

Pill-splitting Incentive Program

50% co-pay discount and free pill splitter
Sponsor: U-M Benefits Office (based on research by the U-M School of Pharmacy).
Web site: www.umich.edu/~benefits/forms/Pill-Splitting-Instructions.pdf
Pharmacist Instructions: www.umich.edu/~benefits/forms/rxpillsplit.pdf
FAQ: www.umich.edu/~benefits/forms/statinqa.pdf
Summary: www.umich.edu/~benefits/forms/PillSplittingExecutiveFinal.pdf

The “Statins”, cholesterol lowering medications, are available in numerous different strength tablets at the same or very similar cost. When physicians prescribe half as many higher-strength pills and have the patient split the tablet to the desired dosage, the cost can be reduced as much as 50%.

As of January 1, 2006 the U-M Prescription Drug Plan will allow you to share in the prescription drug cost savings by reducing your co-payments or co-insurance by 50% when you and your physician voluntarily choose to participate. The medications that qualify for this program are: simvastatin (10, 20, 40, 80 mg), lovastatin (20, 40 mg), pravastatin (20, 40 mg), Lipitor (20,40, 80 mg), and Crestor (10, 20, 40 mg). There is no specific enrollment in this program. Your physician writes prescriptions for qualifying medications as "take 1/2 tablet once a day." The university will pay for one pill-splitter per calendar year to assist you in splitting tablets, if you wish to participate.

The instructions for pill splitting are available from the link below for your use. We suggest you print out the instructions and take them with you to your physician’s office to discuss the program and keep them to assist you in cutting tablets.

• Pill Splitting Instructions (PDF)