12.07.2015 Views

Drug Formulary - Unity Health Insurance

Drug Formulary - Unity Health Insurance

Drug Formulary - Unity Health Insurance

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Where to find information when you have questionsTopicTo check the formulary status or restriction status ofa drugTo obtain a copy of <strong>Unity</strong>’s Prescription <strong>Drug</strong><strong>Formulary</strong>To appeal a Prior Authorization denialTo speak to a clinical pharmacist about why a PriorAuthorization Request was deniedFor criteria for coverage of a medicationEarly refills, vacation supplies, emergency supplies,new member supply, reimbursement of medicationspurchased out-of-pocketTo enroll in the RX90 Extended Supply programTo enroll in the <strong>Unity</strong> Specialty PharmaceuticalsProgramTo inquire about the RX90 Extended Supply programor the Specialty Pharmaceuticals programWhere Availableunityhealth.com by selecting Members and then <strong>Drug</strong> <strong>Formulary</strong>under Quick Linksunityhealth.com by selecting Members and then <strong>Drug</strong> <strong>Formulary</strong>under Quick Links<strong>Unity</strong> Customer Service800-362-3310<strong>Unity</strong> Clinical Pharmacy Program888-450-4884<strong>Unity</strong> Clinical Pharmacy Program888-450-4884 or unityhealth.com by selecting Providers, thenPharmacy Information and then Medication Prior Authorizationunityhealth.com by selecting Members, then Using YourPharmacy Benefits and then Understanding Your PharmacyBenefitsUW <strong>Health</strong> Pharmacy866-894-3784Hometown Pharmacy (does not include Shopko)888-846-1819Mallatt’s Pharmacy and Costume608-238-3106The Medicine Shoppe Pharmacy of McFarland888-247-5534Ballweg Family Pharmacy855-336-4714Eannelli Pharmacy800-717-3396UW <strong>Health</strong> Pharmacy866-894-3784unityhealth.com by selecting Members, then Using YourPharmacy Benefits and then Understanding Your PharmacyBenefits6-16-146

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