CVS Caremark manages pharmacy benefits for Anthem-administered CU Health Plans (Exclusive, Extended, High Deductible and Medicare).

 Review the FAQ below for details on common pharmacy services questions:

ID cards

Will I get a new ID card?

If you’re enrolled in CU Health Plans – Exclusive, Extended, High Deductible or Medicare, you’ll have a separate identification card for your medical and pharmacy benefits – one from Anthem and one from CVS Caremark.

Members also still have the option to use digital identification cards. For more information on using digital ID cards, check out these resources for Anthem and CVS Caremark.

What should I do if I have not received my identification cards?

Members should contact their dedicated Anthem Member Services at 1-800-735-6072 or CVS Caremark Customer Care at 1-888-964-0121 for issues related to their ID cards.

Managing your account

How do I manage my CVS Caremark account?

Members are encoraged to use their CVS Caremark member ID information to complete online setup to access CVS Caremark’s CU Health Plan dashboard on or after July 1, 2020. Visit Caremark.com.

Caremark.com is an easy way to make the most of your prescription benefits:

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

Prescription coverage

Where can I fill prescriptions?

Your prescription plan offers a number of ways to get your medications:

  • For medications taken for a short time (like an antibiotic), fill at any pharmacy in our network of more than 68,000 pharmacies nationwide, including chain pharmacies, 20,000 independent pharmacies and 9,900 CVS Pharmacy locations (including those inside Target stores)
  • For medications taken regularly (such as for high blood pressure or diabetes), get them delivered to your door. To sign up for mail service, choose either option below:
    • Register at Caremark.com/startnow and follow the instructions to request a new 90-day prescription
    • Call the Customer Care number on your member ID card

UCHealth Pharmacy Services will continue to fill prescription needs for members. Here are a few reminders to keep in mind:

  • All plan members (except Medicare): 90-day supply within UCHealth Pharmacy Network
  • Exclusive Plan Members: After three grace fills, specialty and maintenance medications must be filled at a UCHealth pharmacy.
  • Mail Order: 1-720-848-1432
  • Find a UC Health Pharmacy

How do I know if my medication is covered? What do I do if my medication is NOT covered?

Visit the Caremark website to make a selection based on your drug(s) and find out more information on drug coverage.

This website includes links to two drug lists (see image below):

  • Advanced Control Specialty Formulary – This is for specialty drugs.
  • Performance Drug List for Clients with Advanced Control Specialty – This is for all other/non-specialty drugs.

If your drug is on the Advanced Control Specialty Formulary, there will be no change in your drug coverage for the 2020-21 plan year.

If your drug is not on the Advanced Control Specialty Formulary, please contact your experienced CVS Customer Care team at 1-888-964-0121, available 24 hours a day, seven days a week, 365 days a year.

Letters from CVS

What should I do if I receive a letter from CVS?

Select employees may receive letters on one or more of the following topics: 

  • You’ll need to change to a covered medication.
  • You’ll need to change to the brand-name medication.
  • There’s a generic option available for your medication. 
  • Make sure your medication is covered for your specific autoimmune condition. 
  • Your medication is covered, but there will be a new limit on the amount covered. 

If you recieve one of these letters, contact CVS Caremark’s dedicated CU Health Plan Customer Care team at at 1-888-964-0121, available 24 hours a day, seven days a week, 365 days a year. The Customer Care team will walk you through next steps.

 

  Exclusive

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Extended

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High Deductible

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Medicare

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Regular Prescriptions

RX taken for a short time (like an antibiotic)
Exclusive plan members may fill prescriptions through UCHealth retail pharmacies or through CVS Caremark's participating retail pharmacies. *

Mail Order prescriptions are managed by UCHealth's pharmacy services. **
Extended plan members may fill prescriptions through UCHealth retail pharmacies or through CVS Caremark's participating retail pharmacies. *

Mail order prescriptions are managed by UCHealth's pharmacy services. **
High Deductible/HSA Compatible plan members may fill prescriptions through UCHealth retail pharmacies or though the CVS Caremark network, which includes many retail pharmacies, including major chain pharmacies and independent community pharmacies. *


Mail order prescriptions are managed by UCHealth's pharmacy services. **
Medicare members may fill prescriptions through any pharmacy.
Maintenance Prescriptions

RX often filled through mail order, taken regularly (such as for high blood pressure or diabetes)

 
For Exclusive plan members: After 3 grace fills at a retail pharmacy, maintenance and specialty medications must be filled by UCHealth pharmacies.** For Extended or HDHP/HSA Compatible plan members:

30-day prescriptions can be filled through UCHealth pharmacy services or through CVS Caremark's participating retail pharmacies. *

Get 90-day prescriptions delivered to your door. 90-day mail order prescriptions will be filled by UCHealth's pharmacy services. **
Specialty Prescriptions

RX often filled through mail order. RX may be taken to treat chronic conditions (such as rheumatoid arthritis or multiple sclerosis)
For Exclusive plan members: After 3 grace fills at a retail pharmacy, specialty and maintenance medications must be filled by UCHealth pharmacies. ** For Extended or HDHP/HSA Compatible plan members:

CVS Specialty, including UCHealth pharmacies, can be utilized for enrollees in the Extended or HDHP plans. The CVS Specialty team is available for questions, order support 24/7 at 1-800-237-2767.

* To locate a participating CVS Caremark pharmacy nearest you, either call CVS Caremark directly at 1-888-964-0121 or go to www.caremark.com. The CVS Caremark network includes more than 68,000 pharmacies nationwide, including chain pharmacies, 20,000 independent pharmacies and 9,900 CVS Pharmacy locations (including those inside Target stores).

** UCHealth Pharmacy Services will continue to fill mail order needs for members. Here are a few reminders to keep in mind:

  • All Plan members (except Medicare): 90-day supply wihtin UCHealth Pharmacy Network
  • Exclusive Plan members: After 3 grace fills, specialty and maintenance medications must be filled by UCHealth pharmacy services. Locate a UCHealth pharmacy.
  • For general questions about UCHealth Pharmacy Services, call 720-848-3377 (voicemail only line) or email pharmacy@uchealth.org.