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The UPREHS Mail-Order Pharmacy program (DEPOT DRUG MAIL) is designed to meet the specific needs of members and provide excellent outpatient prescription drug benefits. Benefits are limited to physician prescribed drugs and medications used for the treatment of a medical condition that is a covered benefit. Member cooperation is vital to the success of the pharmacy program. Failure to use the program consistently in the manner required can result in denied benefit payment. Members are responsible for denied payments.

The UPREHS formulary is a list of outpatient prescription drugs and other medications that are an allowed benefit when used for the treatment of a medical condition that is a covered benefit. The formulary is incentive based, which means there are three Tiers with the lowest member copayments applying to the least costly drugs. The higher the cost of the drug to UPREHS, the higher the Tier and member copayment. Formulary prescription drugs are included in Tier 1 and Tier 2. Most non-formulary prescription drugs are available under Tier 3. Tier 3 pharmacy benefits eliminate the need for most appeals, special medical review, and exceptions to the formulary.

DEPOT DRUG MAIL copayments are less than when using the UPREHS or contract network pharmacies. The UPREHS Mail-Order Pharmacy (DEPOT DRUG MAIL) is the most economical for you and UPREHS. The Pharmacy and Therapeutics Committee reviews the formulary at least three times each year. Formulary content is based on these reviews so drugs may change during the calendar year. If you have questions about current prescription drugs or prescription benefits you may call UPREHS Customer Service at 1-800-547-0421 between the hours of 7:30 AM and 3:30 PM Mountain Time, Monday through Friday. The current UPREHS Formulary List is available in the Forms / Publications section of the website.