The information below will help you to identify which formulary is applicable to you. However, the best way to access the correct formulary is through MyChart or by entering your member number or group number on the Formulary Lookup.
Note: Most of Unity Health Insurance's members use the top two formularies.
This Formulary serves members whose pharmacy benefits are covered by a fixed copay on a three or four tier plan and are part of the Unity network.
This Formulary serves members with HSA plans and features a one- or two-tier Pharmacy Benefit in the Unity Network.
This formulary serves members who purchased a metal tier (Platinum, Gold, Silver or Bronze) plan that features fixed copays for prescriptions. Networks include Prime, Elite and Beloit One.
This formulary serves members who purchased a Platinum, Gold, Silver, Bronze or Catastrophic plan with pharmacy benefits that are subject to deductible and coinsurance and have no fixed copays. Networks include Prime, Elite and Beloit One.
State and Local Government Members
Please visit Navitus for information about your prescription drug benefits.
BadgerCare Plus Members
Please call the Department of Health Services at 800.362.3002 for information about your prescription drug benefits.
If you have questions about your Pharmacy Benefits, please call Customer Service Monday – Thursday from 7 a.m. to 6 p.m. and Friday from 7 a.m. to 5 p.m.
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Quartz Health Solutions, Inc., Unity Health Plans Insurance Corporation, Gundersen Health Plan, Inc., Gundersen Health Plan Minnesota, Physicians Plus Insurance Corporation, Gundersen Health System, UnityPoint Health and UW Health are separate legal entities. Plans are underwritten by Unity Health Plans Insurance Corporation unless otherwise noted.