All services are discounted or are at no cost to students. Cash, checks, and the all-campus I.D. card may be used for payment when fees are applied. Payments not received by Friday are forwarded to the Business Office and a $10.00 service fee will be added. Students enrolled in the Drew University insurance plan will not be billed for prescription medications that are marked in RED.Payment for off-campus care is the responsibility of the patient. The Health Service staff will assist in the completion of health insurance forms when needed.
Payment is expected at the time of service
| Office Visits | Fee |
|---|
| Health Counseling | N/C | | Routine Office Visit (student) | N/C | Travel Advisory
| $20.00 | | Suture Removal | $25.00 | | Ear Lavage | $25.00 | | Allergy Shots (per visit) | $15.00 | | | | | Physical Examination | | | - Intermediate: Sports | $55.00 | | - Intermediate: Employment, Travel | $65.00 | | - Comprehensive: Admissions, Ordination or Peace Corps | $75.00 | | | | | Gynecological Examination | | - Thin Prep only (#1962)
| $50.00 | - Thin Prep/GC/Chlamydia HPV HR (under 30) (#9241)
| $60.00 | - Thin Prep/GC/Chlamydia W/HPV HR if ASCUS+ (over 30) (#9926)
| $100.00 | - Thin Prep W/HPV HR (over 30) (#9453)
| $130.00 |
| | Laboratory Tests* | Fee |
|---|
| Hepatitis B Blood Titer | $32.00 | Chlamydia Urine Test (2665)
| $25.00 | Gonorrhea Urine Test (2666)
| $25.00 | | Chlamydia & Gonorrhea Urine Test (2661) | $50.00 | | Occult Blood Test (3 tests) | $25.00 | | Mono Spot Test | $25.00 | | MMR Blood Titer ($20 individually) | $55.00 | | Pregnancy Test (HCG-Urine) | $15.00 | | Strep Test, Instant | $25.00 | | Tuberculosis Test (PPD) | $15.00 | | Urinalysis | $15.00 |
|
| | |
| Medical Supplies | Fee |
|---|
| Ace Bandage | $3.00 | | Air Cast | $50.00 | | Crutches (if not returned to Health Service) | $40.00 | | Nebulizer Treatment Kit/prefilled albuterol | $20.00 | | Peak Flow Measurement (PFER) | $10.00 | | Peak Flow Meter (1) | $20.00 | | Slings | $15.00 | | Splints | $5.00 | | Spacer | $12.00 | | Rehab shoe | $25.00 | | Knee brace | $45.00 |
| | Immunizations | Fee |
|---|
| Flu Vaccine | $20.00 | | Gardasil (HPV) (per dose): 3 doses recommended | $155.00 | | Hepatitis A (per dose): 2 doses recommended | $90.00 | | Hepatitis B (per dose): 3 doses recommended | $65.00 | | Inactivated Polio | $45.00 | | Menactra | $125.00 | | MMR (measles, mumps, rubella) | $75.00 | | Tetanus Toxoid | $30.00 | | Tetanus Diptheria (when injury related) | $45.00 | | Typhoid | $65.00 | | Varivax (chicken pox) | $125.00 | | Yellow Fever | $85.00 |
|
N/C = No Charge
* Students enrolled in the student insurance plan will not be billed for outside lab tests (up to $1,000).
Effective date 8/28/03, revised 9/9/04, 10/25/05, revised 5/16/06, revised 6/2008, revised 11/04/2008 |
Medication Fees
All services are discounted or are at no cost to students. Cash, checks, and the all-campus I.D. card may be used for payment when fees are applied. Payments not received by Friday are forwarded to the Business Office and a $10.00 service fee will be added. Students enrolled in the Drew University insurance plan will not be billed for prescription medications that are marked in RED. Payment for off-campus care is the responsibility of the patient. The Health Service staff will assist in the completion of health insurance forms when needed.
Payment is expected at the time of service
| Medication | Qty | Price |
|---|
| Acetaminophen w/ Codeine #3 | 10 | $10.00 | | Albuterol Inhaler (Proventil/Ventolin) | 17g | $35.00 | | Alprazolam 0.5mg (Xanax) | 10 | $10.00 | | Amoxicillin 875mg | 20 | $18.00 | | Amox/Clav 875/125 (Augmentin) | 20 | $42.00 | | Azithromycin 250mg (Z-Pak) | 1 pk. | $35.00 | | Benadryl Prefilled Injection 50 mg | Each | $5.00 | Bupropion 100mg (Wellbutrin) | 30 | $22.00 | | Cephalexin 250mg (Keflex) | 40 | $18.00 | | Ciloxan Opth. Solution 0.3% | 3gm | $80.00 | | Ciloxan Opth. Solution 0.3% | 5ml | $21.00 | | Cipro 250mg | 6 | $12.00 | | Cipro 500mg | 6 | $18.00 | | Contraceptive, Oral or Patch | Packet | $20.00 | | Depo-Provera Injection | Each | $60.00 | | Ear Wax Drops | 1 | $4.00 | | Doxycycline 100mg | 20 | $18.00 | | Epinephrine Injection | Each | $10.00 | | Fluoxetine 10mg (Prozac) | 30 | $9.00 | | Fluoxetine 20mg (Prozac) | 30
| $9.00
| | Fluticasone (Flonase) Nasal Spray | Each | $60.00 | | Fluconazole 150mg (Diflucan) | Each | $20.00 | | Guaifenesin | 4oz | $5.00 | | Guaifenesin DM | 4oz | $5.00 | | Guaifenesin with Codeine | 4oz | $10.00 | | Hydrocortisone Cream 1% | Each | $4.00 |
| | Medication | Qty | Price |
|---|
| Hydrocortisone 2.5% cream (generic) | 20gm | $10.00 | | Hydrocortisone valerate cream (Westcort 0.2%) | 15 gm | $18.00 | | Hydroxyzine 25mg (Atarax) | Each | $1.00 | | Ketaconazole 2% cream | 15gm | $20.00 | | Loratadine (Claritin generic) | 1 pkg. | $5.00 | | Metronidazole 500mg (Flagyl) | 14 | $11.00 | | Naproxen 275mg | 20 | $10.00 | | Neomycin Polymyxin Otic Solution | 10 ml | $20.00 | Nitrofurantoin #14 (Macrobid) | 14 | $20.00 | | Opcon-A Eye Drops | 15 ml | $8.00 | | Oxymetazoline Nasal Decongestant Spray | 15 ml | $5.00 | | Saline Nasal Spray | Each | $5.00 | | Penicillin V K 500mg | 20 | $12.00 | | Phenazopyridine 200mg (Pyridium) | 9 | $10.00 | | Plan “B” | 1 pkg | $20.00 | | Prednisone 20mg | 20 | $10.00 | | Pseudoephedrine 30mg (Sudafed) | 24 | $6.00 | | Rocephin 250mg Injection | Each | $25.00 | | Sulfamethoxazole/Trimethoprim (Bactrim DS #14) | 14 | $18.00 | | Sulfamethoxazole/Trimethoprim (Bactrim DS #6) | 6 | $15.00 | | Terconazole (Terazol 3) Vaginal Cream | 20 gm | $30.00 | | Tigan 200mg Injection | Each | $10.00 |
|
N/C = No Charge
Updated: 11/2008, 6/2008 (4/23/08) |
Prescription Advice
Medications from the Health Service Dispensary:
Both prescription and non-prescription medications purchased at the Health Service can be paid for with cash, check, credit card, or the All-Campus card. (You must have funds in your bookstore account to charge on the All-Campus card). Students enrolled in the student insurance plan will not be billed for prescription medication dispensed at the Health Service (except birth control and travel vaccines) .
Medications from an outside pharmacy:
If we do not carry the medication, we will give you a written prescription to take to the pharmacy of your choice. Or, if you prefer, the Health Service will call in or fax the prescription to one of our local pharmacies (Madison Pharmacy 973-377-0075 or Liberty Drug 973 635-6209) who will deliver the prescription to campus. Students will need to call the Pharmacy in advance of delivery to find out the cost and to arrange payment. A CVS pharmacy is nearby but does not deliver medications. If you have prescription coverage through family insurance you should bring (or fax) a copy of the plan to the pharmacy who may then bill the insurance directly. If you pay by credit card, you will need to call in your credit card information to the pharmacy in advance of delivery. If you have not arranged payment before delivery, they will not leave the medication. It is important that students tell the pharmacy where they want the medication delivered. If you use Madison Pharmacy, they will deliver your medication to your room, but they will need to know when you will be there. As an alternative, both Madison Pharmacy and Liberty Drug will deliver your medication to Drew Health Service where you can pick it up during all open hours. We will call you when the medication arrives.
Important:
The student insurance plan does not cover prescriptions that are purchased off campus. However, many students have prescription coverage through their family plan. When you have this type of coverage, the local pharmacy may be able to bill your insurance directly and you should check with the pharmacy first. Most likely you will have a small co-pay which you can put on you credit card or pay by check. Sometimes you have to pay the bill and submit it to your insurance company for reimbursement. The procedure varies by company.
