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Pharmacy Benefits

Pharmacy benefits vary by plan; select your plan to continue.

 

CVS Caremark will manage Anthem plan members’ pharmacy benefits effective July 1, 2020, for the 2020-21 plan year. Login to your member portal at Caremark.com to make the most of your prescription benefits:

  • Find network pharmacies
  • Refill medication and check order status
  • Check drug costs
  • See your prescription history

You may also call CVS Caremark’s CU Health Plan Customer Care team at 1-888-964-0121 available 24 hours a day, 365 days a year for pharmacy information.

Select the link below to view the 2020-21 Pharmacy Benefits Frequently Asked Questions
 

FAQ for 2020-21 Pharmacy Benefits

About formularies (drug lists): A formulary is a list of prescription drugs that are Food and Drug Administration-approved generic and brand-name medications that have been reviewed and recommended for their quality and effectiveness by a committee of practicing physicians, clinical pharmacists and other professionals, and approved by your insurance carrier. This plan uses 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.

Maintenance medication: Per fill, a maximum of up to 30 days of maintenance medication may be purchased at a retail pharmacy. After three fills, you must either use an Locate an UCHealth Pharmacy or request to have the prescription delivered to your home by filling out an UCHealth Mail Order Form for New Prescriptions or by calling 1-720-848-1432.

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

Brand name vs. generic: 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.

National Formulary Drug List 4-Tier

UCHealth Mail Order Form for New Prescriptions

Locate an Anthem Pharmacy

Locate a UCHealth Pharmacy

Refill UCHealth Pharmacy prescriptions online through My Health Connection

About formularies (drug lists): A formulary is a list of prescription drugs that are Food and Drug Administration-approved generic and brand-name medications that have been reviewed and recommended for their quality and effectiveness by a committee of practicing physicians, clinical pharmacists and other professionals, and approved by your insurance carrier. This plan uses the Anthem Preferred Drug Formulary. Certain medications will require prior authorization. Please note that drug formularies are subject to change.

Maintenance medication: If using mail order, UCHealth Mail Order Prescription Service must be used for maintenance medication to be covered. Fill out an UCHealth Mail Order Form for New Prescriptions or call 1-720-848-1432.

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

National Formulary Drug List 4-Tier

UCHealth Mail Order Form for New Prescriptions

Locate an Anthem Pharmacy

Locate a UCHealth Pharmacy

Refill UCHealth Pharmacy prescriptions online through My Health Connection

About formularies (drug lists): A formulary is a list of prescription drugs that are Food and Drug Administration-approved generic and brand-name medications that have been reviewed and recommended for their quality and effectiveness by a committee of practicing physicians, clinical pharmacists and other professionals, and approved by your insurance carrier. This plan uses 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.

Maintenance medication: If using mail order, UCHealth Mail Order Prescription Service must be used for maintenance medication to be covered. Fill out an UCHealth Mail Order Form for New Prescriptions or call 1-720-848-1432.

Brand name vs. generic: 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.

National Formulary Drug List 4-Tier

UCHealth Mail Order Form for New Prescriptions

Locate an Anthem Pharmacy

Locate a UCHealth Pharmacy

Refill UCHealth Pharmacy prescriptions online through My Health Connection

Please Note: CU Health Plan - Medicare is only available to eligible 401(a) CU and UPI retirees. This plan is not available to PERA CU Retirees.

About formularies (drug lists): This plan has an open formulary so the drug tiers do not apply. However, you can use the formulary link below to see which drugs require prior authorization.

Maintenance Medication: If using mail order, UCHealth Mail Order Prescription Service must be used for maintenance medication to be covered. Fill out an UCHealth Mail Order Form for New Prescriptions or call 1-720-848-1432.

Brand name vs. generic: 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 any copayment.

National Formulary Drug List 4-Tier

UCHealth Mail Order Form for New Prescriptions

Locate an Anthem Pharmacy

Locate a UCHealth Pharmacy

Refill UCHealth Pharmacy prescriptions online through My Health Connection