Know where to go to pick up your prescriptions.
Our pharmacy network includes many popular chains including Walgreens, CVS, Walmart, Kmart, Shopko, Costco, Sam’s Club Meijer, Kroeger, Pick n’ Save, Bellin, Aurora, Thedacare, Skywalk Pharmacies (located within Children’s hospital locations), The Medicine Shoppe Pharmacy, Crivitz Pharmacy and some other independent pharmacies.
If you want to be sure about your pharmacy being in network, you can always contact our Pharmacy Benefit Manager, OptumRx, to check on the network status of pharmacies. That number is 855.577.6545. If you are looking for our list of covered medications, also known as our formulary, please click the box to the right.
Are you interested in mail order for your prescription medications?
CGHC plans offer 90 day fills of certain maintenance medications for only two co-pays. You can sign up for mail order by visiting the OptumRx portal or calling the number on the back of your ID card. Click here for frequently asked questions and more information.
Access to this formulary does not guarantee any coverage details or benefits available; it only provides access to view the full list of medications that are available through Common Ground Healthcare Cooperative’s Prescription Drug Formulary. For a complete outline of covered benefits and details on medication coverage, please refer to your policy and the Schedule of Benefits provided in your enrollment packet. Some medications listed on the Prescription Drug Formulary may not be covered under your specific benefit. Where differences are noted, the benefit plan documents will govern. We reserve the right to add or remove prescription drugs from the formulary as deemed necessary. If you have questions regarding your prescription drug coverage, please call Member Services at 877-514-2442.