Pharmacy - UnitedHealthcare - CDH
Your pharmacy benefits are provided under the County's self-insured pharmacy plan through UnitedHealthcare (UHC). Some of the plan features include:
- an open formulary with five tiers of coverage at affordable co-pays,
- a large network of participating pharmacies,
- a 90-day mandatory maintenance medication program (excludes specialty).
Consumer-Driven Health (CDH) Rx Plans - Copay Rates
|Specialty Pharmacy||$75||30 Day Supply Only|
|Dispense-as-Written (DAW1) & Excluded Drug ("Tried & Failed")||$75||$150|
*Pharmacy can only fill a 30-day supply for maintenance medication 3 times before requiring a 90-day refill.
Plan Clinical Prior Authorization Program
Certain prescriptions require “clinical prior authorization,” or approval from your plan before they will be covered. The categories/medications that require clinical prior authorization may include but are not limited to: Acne (topical-after age 24), ADHD/Narcolepsy (after age 19), Botulinum Toxins, Lamisil/Sporanox, Obesity, and Peniac. Upon receipt of a prescription falling into a covered category, UHC will contact your doctor’s office and request the documentation needed for Prior Authorization.
Member Services: 1-866-633-2474
Danila Montgomery 954-357-7191
Marc Dormeus at 954-357- 7192
They will assist members with their specialty medications to ensure safe and effective administration. UHC provides free home delivery to your home/work address. Please contact UHC for more information regarding specialty pharmacy.
Member Services: 866-633-2474