On-Campus SHIP Benefits
These benefits apply to the current plan year (2012-2013), which ends on August 25th, 2013.
Benefits are provided and funded by the University of Idaho if you are on the SHIP Plan. Prescriptions filled at the Student Health Pharmacy are limited to the Student Health Pharmacy SHIP Formulary. See the formulary at www.health. uidaho.edu/pharmacy for SHIP limitations and exclusions. Non-Formulary Medications are not available at the Student Health Pharmacy.The Student Health Pharmacy SHIP formulary is simply a list of medications. The list is not all inclusive and may be subject to change as new products and information becomes available. Some of the medications are available under multiple brand and generic names. This list may not include all the names that are available for a specific medication. The list is updated monthly and subject to change. For the most current list visit our website at www.health.uidaho.edu/pharmacy.
| TIER 1 | TIER 2 | TIER 3 |
|---|---|---|
|
Co-payment $15 |
Co-payment $30 | Co-payment $60 |
| TIER 1 | TIER 2 | TIER 3 |
|---|---|---|
|
Co-payment $30 |
Co-payment $60 | Co-payment $120 |
| TIER 1 | TIER 2 | TIER 3 |
|---|---|---|
|
Co-payment $45 |
Co-payment $90 | Co-payment $180 |
For eligible prescription medications up to a 61-90 day supply per prescription. The on-campus SHIP includes coverage for oral contraceptives with no copayment. Refer to the Student Health Pharmacy SHIP formulary for covered medications. The Student Health Pharmacy does not provide injectable birth control or implanted birth control devices.
The Student Health Pharmacy carries a small supply of Over the Counter (OTC) items. Special orders may be requested by contacting a pharmacy staff member.
Students off-campus who are enrolled in SHIP may have prescriptions filled by mail. Prescriptions are limited to a 30 day supply unless prior approval has been obtained. Pre-payment is required, including a shipping and handling fee. Refer to www.health.uidaho.edu/pharmacy for additional information and instruction. All other prescriptions for students off-campus should be filled at a local pharmacy using the SHIP/ESI Card. See benefit information on page 11.
Refills
All prescription refills MUST be called in 24 hours in advance to be processed
and picked up the following day after 12:30 pm. Coupons with restrictions for government agencies may not be used at the Student Health Pharmacy. If your prescription is out of refills, please allow up to 48 hours for pharmacy staff to contact your prescriber.

