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Pharmacy (CU Health Plan - Access Network)

Please Note: Only employees and eligible dependents who are currently enrolled may elect to continue this coverage.

CU Health Plan – Access Network pharmacy benefit is a four tier Drug Formulary limited to Tiers 1 (Generic), 2 (Preferred Brand Name), 3 (Non-Preferred Brand Name) and 4 (Non-Preferred Specialty Oral and Injectable) only. Certain medications will require prior authorization. Please note that drug formularies are subject to change. You can also request to have prescriptions delivered to your home completing the attached Mail Order form or by calling 720-848-1432

Maintenance Medications: Per fill, up to 30 days of maintenance medication may be purchased at a retail pharmacy. If using mail order for up to a 90 day supply, UCH Mail Order Prescription Service must be used for maintenance medication to be covered.

If you or your Provider request a brand name drug when a generic version of that drug is available, you will be responsible for the cost difference between the generic and brand-name drug, in addition to your tier copayment.