Pharmacy Health Plans Frequently Asked Questions

You can fill them at any Cigna participating retail pharmacy. These include pharmacies at UCH (Anschutz Outpatient Pavilion, Atrium pharmacy at Anschutz Inpatient Pavilion, Lowry pharmacy, UCH Mail Order pharmacy), pharmacies contracted under UCH in Boulder (the Apothecary pharmacy at UMGP and the Apothecary pharmacy at Wardenburg), as well as at Rite-Aid, Wal-Mart, King Soopers, Walgreens, etc.

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

 

	UCH-Network Pharmacy Locations and 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	$150.00	N/A

Filling your prescriptions at UCH pharmacies has other added benefits:

• It's likely to be the most convenient option if you work on the Anschutz Medical Campus.
• 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 at UCH pharmacies after 90 days, so please consider transferring those prescriptions to UCH pharmacies now.
• The only covered mail order service is through the UCH Mail Order pharmacy.

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, 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 UCH pharmacies, or one of our contracted pharmacies in Boulder, by the third refill.

 

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.

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 UCH-Network pharmacy in order to be covered by the insurance.

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

 

By using UCH-Network 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.

Our employee health insurance is “self-funded,” meaning “The Trust” which represents UCH, UPI, and CU pays for these health plans.

 

The Trust pays for the majority of your monthly premiums and the cost of prescription medications outside of copays. Any profit that is made by UCH pharmacies on these prescriptions is shared back with The Trust, which is in turn used to pay for our health insurance. This allows for a beneficial cycle that maintains affordable monthly premiums and prescription copays for all employees and their dependents.

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

Yes. Some prescriptions are not required to be filled for 90-day supplies. Exceptions to this requirement may include (but are not limited to) controlled substances and medications where the FDA limits the amount of medication that may be dispensed. View the exception list.

 

Note that these medications may still be filled using the UCH Mail Order Pharmacy service or may be picked up at any of the UCH-Network retail pharmacies.

No.

 

You will be required to fill 90-day supplies of your maintenance medications (prescriptions you take long-term) at UCH Pharmacies by the third time it is refilled. These extended day supplies can ONLY be filled through any of the UCH-Network pharmacies or 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.

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!

To enroll, download this enrollment form or pick one up at a UCH 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.

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.

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.

 

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 90 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.

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

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 UCH-Network pharmacy directly and we will work with your doctor's office to obtain a renewed prescription.

 

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

 

If you don't see your medication listed on the formulary, then you can call Cigna to find out if your medication is covered: 1-800-332-4462 (1-800-33-CIGNA).

 

If a medication has the notation "(PA)" behind its name on the Cigna formulary (available online at www.cigna.com/CUhealthplan ), then your doctor or health care provider will need to call Cigna for a Prior Authorization.

 

If your medication has both "(PA)" and "(SP)" behind its name on the formulary (includes medications such as Enbrel, Humira, and Copaxone) 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.

UCH 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.

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

Coverage is the same as filling prescriptions in Colorado. Your prescriptions may be filled at any Cigna contracted pharmacy for the standard copay or coinsurance.

See our 2013 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**
(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
**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.

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.

 

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 UCH pharmacy may register an account with My Health Connection regardless of whether your health care provider practices at UCH. 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 UCH clinic, please contact your clinic to add or update this information. If you do not use any UCH 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. If you are requesting refills through the UCH Mail Order Pharmacy, you can skip the section asking you to select a pickup date and time.

 

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

For additional questions, please use the following resources:

 

For general questions about pharmacy benefits: Email pharmacy@uch.edu or call (720) 848-3377

 

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