SilverScript manages pharmacy benefits for retirees and surviving spouses enrolled in CU Health Plan - Medicare.
SilverScript (a CVS Caremark company) is an employer-sponsored Medicare Prescription Drug Plan that provides more coverage than a standard Medicare Part D plan. Learn more about your prescription coverage, where to fill prescriptions and more about SilverScript.
(Enrolled in CU Health Plan - High Deductible? See the CVS Caremark page for pharmacy details.)
Formulary: SilverScript's formulary page details covered drugs. See if your drug is covered, requires a prior authorization, step therapy or has quantity limits. If your drug is not on the current formulary or specialty formulary, contact SilverScript Customer Care at 1-833-252-6640.
Prior authorization: If a drug requires a new prior authorization, share the formulary with your provider to determine if a formulary alternative may be prescribed instead, or if a prior authorization request should be filed. During your first 90 days of plan coverage, you can get a transition fill at the pharmacy for most drugs requiring prior authorization.
Review this chart to help determine the best in-network pharmacy for you and your needs:
| Medication type | Where to fill this medication | Find a pharmacy |
|---|---|---|
|
Short-term medications — Up to a 30-day supply (Antibiotics, etc.) |
CVS Retail Network Pharmacy: Visit one of the 68,000 pharmacy locations nationwide with more than 850 in Colorado. This network includes all major national chains (such as Walgreens, Costco, King Soopers, Safeway, UC Health, etc.) and many independent pharamcies. CVS Retail Pharmacy: Visit a stand-alone CVS pharmacy or a CVS pharmacy inside Target. There are more than 60 Colorado locations. |
|
|
Non-specialty medications — Up to a 90-day supply |
CVS Retail Network Pharmacy: Visit one of the 68,000 pharmacy locations nationwide with more than 850 in Colorado. This network includes all major national chains (such as Walgreens, Costco, King Soopers, Safeway, UC Health, etc.) and many independent pharamcies. A CVS Retail Pharmacy: A stand-alone CVS pharmacy or a CVS pharmacy inside Target. There are more than 60 Colorado locations. |
|
|
Maintenance medications (such as high blood pressure and diabetes medications) — Up to a 90-day supply |
CVS Retail Pharmacy: A stand-alone CVS pharmacy, a CVS pharmacy inside Target, a Costco pharmacy or a Kroger pharmacy (including King Soopers and City Market). There more than 200 Colorado locations. |
For a CVS Retail Pharmacy:
|
| CVS Mail Service: Mail order fills maintenance medications with up to 90-day supply. You can have medications shipped to your door or pick them up at a nearby CVS Retail Pharmacy. |
CVS Mail Service: Visit the mail order website and set up an account. You can have your medications set up for automatic refill delivery or manage your refills through your account by text, phone or email. | |
|
Specialty medications (Medications that required special handling, have limited distribution, treat complex conditions and/or require ongoing assessment) |
CVS Specialty: Online services to have specialty medications shipped to your door or pick them up at a nearby CVS Retail Pharmacy |
Visit the CVS Specialty website to set up an account or call 1-833-252-6640 (TTY: 711). |
No-cost coverage for generic preventative drugs
All members can fill prescriptions for covered generic drugs used to prevent or treat certain chronic health conditions at no cost. Generic drugs use the exact same effective ingredient(s) of brand-name medications and are formulated with the same quality, dosage, safety and effectiveness as brand name drugs.
When prescribed eligible drugs by your doctor, you'll be able to fill these at $0 cost, even if you haven't met your medical plan deductible yet (if applicable).
Common conditions include:
- Cardiovascular conditions
- Respiratory disorders
- Hypertension
- Osteoporosis
- Anticoagulants/antiplatelets
- Preventative care
- Women's health
- And more!
Eligible drugs:
- Covered no-cost preventative generic drugs were determined by Affordable Care Act and IRS regulations, and covered drug lists are updated quarterly.
- Check the formulary to see if your drug is covered, requires a prior authorization, step therapy or has quantity limits. If you have questions, call CU's dedicated SilverScript Customer Care line at 1-833-252-6640, available 24 hours a day, 7 days a week.
Who is SilverScript?
SilverScript Insurance Company (SilverScript) administers the Medicare Part D prescription drug plan for CU Health Plan – Medicare enrollees. The additional coverage provided by CU Health Plan means enrollees have more coverage than the standard Medicare Part D plan.
Do I have coverage under my CU Health Plan as well?
Yes. SilverScript is a Medicare Part D prescription drug plan. You also have additional coverage provided by CU Health Plan. This additional coverage means that you have more coverage than the standard Medicare Part D plan.
Do I get an ID card?
You will receive an ID Card from SilverScript. If you do not receive a card, contact SilverScript Customer Care at 1-833-252-6640.
How do I know if my medication is covered? What do I do if my medication is not covered?
Visit the SilverScript website's formulary page to see if your drug is covered, requires a prior authorization, step therapy or has quantity limits.
If your drug is not on the current formulary or specialty formulary, contact SilverScript Customer Care at 1-833-252-6640.
What will my prescriptions cost?
Your cost will depend on the tier of drug you’ve been prescribed and the availability of generic options.
Visit the SilverScript website's formulary page to see if your drug is covered, requires a prior authorization, step therapy or has quantity limits. If your drug is not on the current formulary or specialty formulary, contact SilverScript Customer Care at 1-833-252-6640.
When can I refill a prescription?
For non-controlled substances, 75% must be used/taken before the next refill. For a 30-day supply, this is 23 days. For a 90-day supply, this is 68 days.
For controlled substances, 80% must be used/taken before the next refill.
If you have questions, contact SilverScript Customer Care at 1-833-252-6640.
Will my spouse/dependent be covered under SilverScript?
Medicare-eligible members will receive coverage under SilverScript. If they are covered under CU Health Plan – High Deductible, they will receive coverage under CVS Caremark. Review information on the CVS Caremark pharmacy page.