Prescription Drugs

Prescription drug benefits are provided by OptumRx for all plan options.

OptumRx

OptumRx allows you to use the Valleywise Health in-house pharmacy, plus over 65,000 retail pharmacies around the country. You also have access to the mail order pharmacy for a 3-month supply of select maintenance medications.

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Valleywise Health Pharmacies

When using any one of the Valleywise Health pharmacy locations, employees can enjoy the following benefits. Pharmacy locations are listed below.

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Mail Delivery Services

Mail delivery service for most employee prescriptions at no additional cost
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Savings On Over The Counter Products

OTC products available for substantial savings compared to average retail prices
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Payroll Deductions

Payroll deduction available for copdays and over-the-counter (OTC) purchases
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Flat Rate Prescription Costs

Over 200+ medications on Valleywise Health’s $4 and $10 flat-fee prescription drug list

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Favorable Pricing On All Prescriptions

Favorable pricing on non-covered prescription medications when using Valleywise Health’s network of providers for primary care

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Extended Pharmacy Hours

Outpatient Discharge pharmacy open weekends and holidays

Pharmacy Plan Comparison

Certain generic preventive drugs are available at no cost toValleywise Health medical plan participants as long as the drug is purchased at a Valleywise Health Pharmacy. The deductibles, coinsurance, and/or copays do not apply to these generic medications. Particular generic medications for coronary artery disease, diabetes, hypertension, antidepressants, osteoporosis, and more are available at no cost to members.

Preferred and POS Plans
Valleywise Health FacilitiesArizona Network
In-Network
Retail Rx - 30 day supply
Generic$5$20
Brand Formulary$20$40
Non-Formulary$40$60
Specialty
Tier 1
Tier 2
Tier 3
 
$15
$50
$90
 
$40
$80
$120
Mail Order Rx - 90 day supply
Generic$15$40
Brand Formulary$50$80
Non-Formulary$90$120
Specialty
Tier 1
Tier 2
Tier 3
 
$45
$150
$270
 Not Covered
HDHP with HSA
Valleywise Health FacilitiesArizona Network
In-Network
Retail Rx - 30 day supply; Mail Order Rx - 90 day supply
Generic0% After Plan Year Deductible and Out-of-Pocket Maximum10% After Plan Year Deductible
Brand Formulary
Non-Formulary
Specialty

Valleywise Health Pharmacy Locations

The Valleywise Health Department of Pharmacy Services encompasses the Valleywise Health Hospital Pharmacy, the Valleywise Health Discharge Pharmacy, Comprehensive Health Center Pharmacy and seven Valleywise Health Family Health Center Pharmacies. The Department provides pharmaceutical products as well as over-the-counter (OTC) items available for purchase at all locations.

Find pharmacy locations here: valleywisehealth.org/services/pharmacy.