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Pharmacy (CU Health Plan - Exclusive)

CU Health Plan – Exclusive 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 by using the UCHealth Mail Order Prescription Service by calling 720-848-1432 or by filling out the Mail Order Prescriptions form below.

Maintenance Medication: Per fill, a maximum of up to 30 days of maintenance medication may be purchased at a retail pharmacy. After 3 fills, UCHealth Retail Pharmacies or UCHealth Mail Order Prescription Service must be used for maintenance medication to be covered.

Specialty Rx: Specialty drugs must be filled through UCHealth pharmacies unless otherwise directed by UCHealth pharmacies to Anthem Specialty.

Dispense As Written: If you 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 generic copayment. However, if your physician prescribes the brand-name version of the drug and writes dispense as written, you will only be responsible for the brand name copayment.