This drug formulary is being updated. There will be minor changes made prior to January 1, 2025.
If your medication is not currently listed under the formulary, please contact a pharmacist at Integrity Pharmaceutical Advisors (IPA), to confirm if your medication will be covered under the formulary on January 1st.
An IPA pharmacist is available to assist you Monday – Friday, 8:00am to 8:00pm (PST) to answer any questions that relate to the drug formulary. To make an appointment to speak with a pharmacist, call (855) 948-0219 or you can schedule an appointment online at https://calendly.com/pharmacy-consulting-teleconference-usc/usc-teleconference.
USC Drug Formulary
Click here to view the USC Drug Formulary.
USC PPO Plan – Copays
Retail Drug Copays – Network Pharmacy:
(Per 30-day supply)
- Generic: $5 Copay
- Brand (no Generic available): $25 Copay
- Brand (with Generic available): $70 Copay
- Specialty Drug (Brand): $125 Copay
Note: Mail Order available at the same Copays as Retail, for each 30-day supply
Retail Drug Copay – Non-Network Pharmacy:
(Per 30-day supply)
- Plan reimburses you 50% of the Optum contracted rate (not of cost)
USC Trojan Care EPO Plan - Copays
Retail Drug Copays – Network Pharmacy:
(Per 30-day supply)
- Generic: $5 Copay
- Brand (no Generic available): $25 Copay
- Brand (with Generic available): $70 Copay
- Specialty Drug (Brand): $125 Copay
Note: Mail Order available at the same Copays as Retail, for each 30-day supply