Pharmacy
Pharmacy Benefits Heading link
Prescription Copays
Formulary Generic $10 copay
Formulary Brand $20 copay
Non-Formulary $40 copay + 10% co-insurance
*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 Out-of-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 Heading link
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Chicago
University Village Pharmacy
722 W. Maxwell St. 2nd Fl
Chicago, IL 60607
Ph: 312-355-2345
Monday 9:00 AM – 5 :00PM
Tuesday 9:00 AM – 5:00 PM
Wednesday 9:00 AM – 5:00 PM
Thursday 9:00 AM – 5:00 PM
Friday 9″00 AM – 5:00 PMTaylor Street Pharmacy
(Eye & Ear Infirmary)
1855 W. Taylor Street 1st Fl
Chicago, IL 60612
Ph: 312-996-6540
Monday 9:00 AM – 5 :00PM
Tuesday 9:00 AM – 5:00 PM
Wednesday 9:00 AM – 5:00 PM
Thursday 9:00 AM – 5:00 PM
Friday 9″00 AM – 5:00 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 Heading link
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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.
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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.