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CU Health Plan Medication Management

Pharmacy Health Plans Frequently Asked Questions

CU Health Plan "Exclusive" questions and answers appear in the expandable headings below.

Also, get FAQs for:

CU Health Plan "High Deductible" Kaiser Permanente CU Health Plan "Medicare" (CU Retirees only) CU Health Plan "Access Network" (Closed to new enrollees)

Additional questions and answers for UCHealth North employees

Where can I get my prescriptions filled?

You can fill them at any Anthem participating retail pharmacy for up to a 30-day supply. These include UCHealth pharmacies (Anschutz Outpatient Pavilion, Atrium pharmacy at Anschutz Inpatient Pavilion, Lowry pharmacy, UCH Mail Order pharmacy, Memorial Hospital Staff Pharmacy), pharmacies contracted under UCH in Boulder (the Apothecary pharmacy at UMGP and the Apothecary pharmacy at Wardenburg), as well as Anthem-participating retail pharmacies such as Rite-Aid, Wal-Mart, King Soopers, Walgreens, etc.

Does it matter which pharmacy I use?

Yes. The only way to get a 90-day supply of your prescription is through UCHealth pharmacies. Also, filling your prescriptions at a UCHealth pharmacy costs less than at other pharmacies, as shown below.

 

  UCHealth Pharmacy Locations and the UCH Mail Order Service Retail (KingSoopers, Walgreens, etc.)
Tier 1 / Generic Medications    
 1 30-day supply  $13.00  $15.00
 1 90-day supply  $26.00  N/A
Tier 2 / Preferred Brand Name Medications    
 1 30-day supply  $30.00  $35.00
 1 90-day supply  $60.00  N/A
Tier 3 / Non- Preferred Brand Name Medications    
 1 30-day supply  $50.00  $50.00
 1 90-day supply  $100.00  N/A
Tier 4 / Non- Preferred Specialty Medications    
 1 30-day supply  $75.00  $75.00
 1 90-day supply  N/A  N/A

Note: If the cost of your prescription is less than the copay, you will only be charged the lesser amount.

Filling your prescriptions at UCH pharmacies has other added benefits:

  • Savings are retained internally so we can use them towards keeping future premiums affordable for everyone.
  • Out staff specialize in working with the CU Health Plans and are very knowledgeable about the pharmacy benefits.

Also, please note that:

  • All maintenance prescriptions must be filled through UCHealth pharmacies after 90 days in order to be convered by insurance.
  • The only covered mail order service is through the UCH Mail Order pharmacy.

I'm not on the Anschutz Medical Campus. How do I take advantage of the lower co-pays from the UCHealth pharmacies?

The easiest way to maximize savings (i.e., lower co-pays) is to enroll in the "UCH Mail Order" program.

 

You may also receive the same discounted copays at the UCH Lowry pharmacy, the Memorial Hospital Staff Pharmacy, or at our contracted pharmacies in Boulder (the Apothecary pharmacy at UMGP or the Apothecary pharmacy at the Wardenburg Health Center).

 

All maintenance medications must be filled for 90-day supplies at one of these UCHealth pharmacies, or one of our contracted pharmacies in Boulder, by the third refill in order to be covered.

 

Is there a mail order option for my prescriptions?

Yes. UCH Mail Order Pharmacy is the exclusive mail order option. When using the mail order service, you get the added benefit of receiving three months' supply of medication for the cost of only two copays.

What are maintenance medications?

These are medications that you take on a long-term basis. Examples include medications for blood pressure, cholesterol, asthma, and diabetes.

 

You may fill your maintenance medications at ANY pharmacy up to three times (for 30-day supplies) before being required to switch to a UCHealth pharmacy in order to be covered by the insurance.

Why do I have to get a 90-day supply at a time?

After filling the same maintenance drug and dose three consecutive times, your prescription is not likely to change.

 

By using UCHealth pharmacies, you only pay for two rather than three prescription copays in 90 days. These savings are also passed on to the employers who pay for the plans which helps keep the cost of providing these health plans affordable. Furthermore, it is likely more convenient for you to fill your medications about four times per year instead of twelve.

 

Certain medications are excluded from the 90-day supply requirement. View this "exceptions" list.

Do I have to use Mail Order to get a 90-day supply?

No. You may pick up a 90-day supply at any of the UCHealth pharmacies or at either of the contracted Apothecary pharmacies in Boulder.

Do I have to use mail order?

No.

 

You will be required to fill 90-day supplies of your maintenance medications (prescriptions you take long-term) at UCHealth pharmacies by the third time it is refilled. These extended day supplies can be picked up at any of the UCHealth pharmacies or shipped to you through the UCH Mail Order Prescription service.

 

Helpful Tip: Ask your doctor to prescribe a 90-day supply of your maintenance medication(s) plus refills (note: certain medications will be subject to state or federal dispensing limitations). If you would like to use the UCH Mail Order service, but need the medicine immediately, ask your doctor for two prescriptions, one to be filled right away at your pharmacy of choice and another to be sent to the UCH Mail Order pharmacy.

Why use mail order?

Convenience. Prescriptions are delivered directly to your door. For even more convenience, you may request to sign up for the Auto-Refill program so that you don't have to remember to request refills every time.

 

Savings. How much you save depends on the medications you take. In many cases, a three-month supply of a generic equivalent costs the same as a two-month supply from a retail pharmacy. You could save up to $240 per prescription annually!

I'm new to mail order. How do I enroll?

To enroll, download this enrollment form or pick one up at a UCHealth pharmacy. Complete the form and mail it in along with any prescriptions you would like to have filled.

 

Or you can call the UCH Mail Order Pharmacy at (720) 848-1432 or 1-800-941-2207 between 8 a.m. and 4 p.m.

How do I fill prescriptions through mail order?

Once you’re enrolled, you may have your doctor call in new prescriptions to the Mail Order Pharmacy at (720) 848-1432 or 1-800-941-2207 between 8 a.m. and 4 p.m. or fax to (720) 848-1433.

 

You can also mail your written paper prescriptions along with a mail order form to the UCH Mail Order Pharmacy at:

12605 E. 16th Ave
Mail Stop A014
Aurora, CO 80045

 

If you would like to transfer a prescription from another pharmacy, call the UCH Mail Order Pharmacy and provide them with the name and contact information of the other pharmacy along with your prescription number and medication name.

 

Please allow 7-10 days for processing and shipping of your order.

 

Helpful Tip: Ask your doctor to prescribe a 90-day supply of your maintenance medication(s) plus refills (note: certain medications will be subject to state or federal dispensing limitations). If you would like to use the UCH Mail Order service, but need the medicine immediately, ask your doctor for two prescriptions, one to be filled right away at your pharmacy of choice and another to be sent to the UCH Mail Order pharmacy.

How do I request a refill of an existing UCH pharmacy prescription?

Call the pharmacy to request a refill (see below for UCH pharmacy hours, locations, and contact numbers). Please have your prescription number ready.

 

Or request refills online through My Health Connection.

 

(Note: to request refills to be picked up at Poudre Valley Hospital or Medical Center of the Rockies, please call the UCH Mail Order Pharmacy or submit a refill request using the UCH Mail Order form at the Inpatient Pharmacy window.)

 

Remember to always request your prescription refills 7 to 10 business days before you run out.

 

For added convenience for our UCH Mail Order service customers, we can automatically refill your prescriptions whenever they’re due (for example, every 84 days) at your request. This way you don’t have to remember to request your refills. To learn more about the Auto-Refill program, call or email the UCH Mail Order Pharmacy.

What is the turnaround on Mail Order prescriptions?

Seven to 10 business days. Rush delivery is available for an additional fee.

My prescription is expired or out of refills. What do I do?

If your prescription is expired or out of refills, you will need to get a new prescription from your doctor.

 

If you use any of the UCH retail pharmacies or the UCH Mail Order Prescription service, then the easiest way to request a new prescription is by using My Health Connection.

 

You may also contact your UCHealth pharmacy directly and we will work with your doctor's office to obtain a renewed prescription.

 

Are my medications covered by the health plan?

Most common medications are covered by this plan, especially most generic medications. You can check the Anthem Formulary online (www.anthem.com/CUhealthplan) to see if your prescriptions are covered.

 

If you don't see your medication listed on the formulary, then you can call Anthem to find out if your medication is covered: 1-800-735-6072.

 

What do I do if my medication requires a Prior Authorization?

If a medication has the notation "PA" behind its name on the prescription formulary (available online at www.anthem.com/CUhealthplan ), then your doctor or health care provider will need to call Anthem for a Prior Authorization (PA). The pharmacy will usually contact your doctor's office to inform them when a PA is needed.

 

If a Tier 4 specialty medication needs a prior authorization, then your doctor will need to fill out and fax this Prior Authorization Request (PAR) form to CU Health Plan Medication Management.

 

Certain injectable medications given by a doctor or nurse during an outpatient clinic visit (includes medications such as Lupron, Prolia, and Eligard) will need a PAR form submitted.

 

If your doctor prescribes a medication that is injected or infused in the outpatient clinic (includes medications such as Rituxan, Remicade, and Reclast), your doctor will also need to submit a PAR form.

What if my doctor is not part of UPI or UCH?

UCHealth pharmacies can fill prescriptions for ANY patient from ANY doctor.

 

However, the UCH Mail Order Prescription service is only available to members of the CU Health Plans.

May I still use the $4 generic programs available at some retail pharmacies?

Yes. All non-UCHealth retail pharmacies contracted with Anthem will charge the co-pay or the $4 price, whichever is less.

My child is attending an out-of-state college, and I sometimes travel for extended periods of time. How are those medications covered?

Coverage is the same as filling prescriptions in Colorado. Your prescriptions may be filled at any Anthem-contracted pharmacy for the standard copay. You will likely need to fill your maintenance medications through the UCH Mail Order Prescription Service.

What are the hours, locations, and contact information for the UCHealth pharmacies?

See our 2014 holiday schedule

 

Atrium Pharmacy (first floor, Anschutz Inpatient Pavilion) Anschutz Outpatient  Pavilion (AOP) Pharmacy

12605 E. 16th, Room 1054
Mail Stop A027
Aurora, CO 80045
Open 9 a.m. to 8:30 p.m., Mon - Fri
9 a.m. to 5 p.m. Sat & Sun  
Phone:  (720) 848-4083 
Fax:  (720) 848-4084

1635 Aurora Ct., Room 1012
Mail Stop F702
Aurora, CO 80045
Open 8:30 a.m. to 6 p.m., Mon - Fri
Phone:  (720) 848-1020 
Fax: (720) 848-1040
IDGP Pharmacy at UCH (Anschutz Outpatient Pavilion, 7th Fl) Pharmacy at Lowry 
1635 Aurora Ct., Room 7284
Mail Stop F702
Aurora, CO 80045
Open 8:30 a.m. to 5 p.m., Mon - Fri;
closed for lunch 12:30 - 1 p.m.
Phone:  (720) 848-4081
Fax: (720) 848-4082
8111 E. Lowry Blvd, Ste 110
Mail Stop B01
Denver, CO  80230
Open 8:30 a.m. to 5 p.m., Mon - Fri  
Phone:  (720) 848-9590
Fax:  (720) 848-9593
The Apothecary at UMGP** UCH Mail Order Prescription Services
350 Broadway, Suite 50
Boulder, CO 80305
Open 9 a.m to 5 p.m. Mon - Fri
Phone: (303) 499-2879
Fax: (303) 499-5308
12605 E. 16th Ave
Mail Stop A014
Aurora, CO 80045
Phone:  (720) 848-1432
Fax:  (720) 848-1433
The Apothecary at Wardenburg Health Center** Memorial Hospital Staff Pharmacy
(CU Boulder campus)
Open 8 a.m. to 6 p.m. Mon - Thurs
8 a.m to 5 p.m. Friday
9 a.m. to 2 p.m. Saturday, during the Fall/Spring semesters
1400 E. Boulder Street, Room 0813
Colorado Springs, CO 80909
Open 9 a.m. to 5 p.m. Mon - Fri
Phone: (719) 365-2525
Fax: (719) 365-6252
Poudre Valley Hospital (PVH) Pick-up Location Medical Center of the Rockies (MCR) Pick-up Location
PVH Inpatient Pharmacy Window
1024 S. Lemay Avenue
Third floor, H3101
Fort Collins, CO 80524
Open 24/7 for pick up
Phone: (970) 495-8044
Note: Please call the UCH Mail Order Pharmacy (800-941-2207) for questions or to request refills
MCR Inpatient Pharmacy Window
2500 Rocky Mountain Ave.
Third floor, M3560-1
Loveland, CO  80538
Open 24/7 for pick up
Phone: (970) 624-3363
Note: Please call the UCH Mail Order Pharmacy (800-941-2207) for questions or to request refills

 

**The Apothecary pharmacies in Boulder are contracted under UCH so that you can obtain the discounted copays. They are not employed or managed by UCH.

How do I request a copy of my prescription history for tax purposes?

First, print and fill out a Release of Information form [forma en Español] and submit this form to the pharmacy by mail or fax.

 

Then, call the pharmacy where you have your prescriptions filled to request a copy of your prescription history.

 

Questions about My Health Connection?

My Health Connection is your online medical record portal where you can access lab results, schedule appointments, send secure messages to your health care provider, and request UCH Pharmacy prescriptions online.

 

Anyone who uses a UCHealth pharmacy may register an account with My Health Connection regardless of whether your health care provider practices at a UCHealth facility. In order to be able to register, we must have your current e-mail address and social security number on file in our secure electronic health record system. If you use a UCHealth clinic, please contact your clinic to add or update this information. If you do not use any UCHealth clinic, please call the pharmacy to add or update this information.

 

To request prescription refills through My Health Connection, login at www.uch.edu/myhealthconnection. Click on “My Medical Record” on the left side of the screen, then click on “Medications.” Click on the link for “Request a refill” next to the prescription you would like refilled. On the next screen, you may select other prescriptions you would like refilled at the same time.

 

For questions or assistance with My Health Connection, please send an e-mail to: myhealthconnection@uchealth.org

Have questions?

For additional questions, please use the following resources:

 

For general questions about pharmacy benefits: Email pharmacy@uchealth.org or call (720) 848-3377 (voicemail line only)

 

For questions about the UCH Mail Order Prescription Service: Call (720) 848-1432 or 1-800-941-2207