Pharmacy
Pharmacy Benefits
Prescription Copays
Formulary Generic $10 copay
Formulary Brand $20 copay
Non-Formulary $40 copay
*unless under the exclusions listed in the Certificate of Coverage.
Members will be charged the prescription copay when picking up medications at an In-Network Pharmacy. Please show your CampusCare ID Card or I-Card when picking up prescriptions at In-Network Pharmacies.
Members may only be dispensed a sixty (60) day supply after the Enrollment Period deadline date and up to thirty (30) days prior to the last day of that Term. Ninety (90) day supplies are not covered.
Members will need to pay the full cost at Out-of-Network Pharmacies and submit a claim for reimbursement. See information below regarding external pharmacy options & reimbursement.
In-Network Pharmacy Locations
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Chicago
University Village Pharmacy
722 W. Maxwell St. 2nd Fl
Chicago, IL 60607
Ph: 312-355-2345
Monday-Friday 9:00 AM – 5 :00PMSCB Pharmacy
1009 S Wood Street Rm 1025
Chicago, IL 60612
Ph: 312-996-6540
Monday-Friday 9:00 AM – 5 :00PM
Saturday 9:00 AM – 1:00 PM -
Rockford
North Park Pharmacy
7924 North Second St.
Machesney Park, IL 61115
Ph: 815-633-3431
Monday-Friday 8:30 AM – 8:00 PM
Saturday 8:30 AM – 4:00 PM
Sunday 9:00 AM – 1:00 PMO’Brien & Dobbins Pharmacy
216 S. State St.
Belvidere, IL 61008
Ph: 815-544-3433
Monday-Friday 9:00M – 7:00 PM
Saturday 9:00 AM – 4:00 PM
Sunday 9:00 AM – 1:00 PMDowntown Discount Drugs
331 W. State St.
Rockford, IL 61101
Ph: 815-962-2166
Monday- Friday 9:00 AM – 5:00 PM
Saturday 9:30 AM – 12:00 PM
Sunday Closed -
Peoria
Alwan Pharmacy
311 N. Western Ave.
West Peoria, IL 61636
Ph: 309-676-6333
Monday- Friday 9:00 AM – 6:00 PM
Saturday 9:00 AM – 1:00 PM
Out-of-Network Pharmacy Information
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Out-of-Network Pharmacy Benefits
Members also have access to any out-of-network pharmacy, such as Walgreens or CVS. Member must pay the amount in full upfront and mail in all original receipts, the pharmacy identification sheet, and a cover letter requesting reimbursement. Member is responsible for the prescription co-pay according to the CampusCare Formulary.
This applies to prescription medications ONLY. CampusCare only covers medical services, such as vaccines or urgent care, at a pharmacy if there is an authorized referral from the member’s primary care provider. CampusCare does not retroact referrals for services already rendered
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Out-of-Network Pharmacy Claims
External Pharmacy Reimbursement Requests should be mailed to:
CampusCare
PO Box 8030
Westchester, IL 60154Any further questions regarding your pharmacy claims and reimbursement requests should be directed to the Claims Department at 312-996-4915 option 2.
Formulary Exception Form
A formulary exclusion exception process is available to CampusCare Members, and may be requested by the Member or the Member’s CampusCare Health Center Physician when the following qualifying factors exist:
· The drug is excluded from coverage under the CampusCare Certificate of Coverage.
· At the recommendation of the treating provider, the Member has a medical necessity to remain on an excluded drug. Medical Necessity exist when a CampusCare Member is suffering from a health condition that may seriously jeopardize the Member’s life, health, or ability to regain maximum function.
The formulary exclusion exception form should be submitted to CampusCare by e-mail at cchealth@uic.edu
At Home COVID Test Coverage
CampusCare covers “At home COVID-19 tests”. This will need to be reimbursed in the same manner as our Out-of-Network pharmacy claims. The students must submit their receipt and a cover letter requesting reimbursement and will be covered up to the limits outlined below: