Which Medications are Covered?
Every medical plan has a "formulary." The formulary is the list of medications that are covered. Sometimes it is referred to as a "prescription drug list."
Boulder County's medical plans uses the Advanced Control Formulary. Find the full formulary and more online!
Preventive Medication List
For Consumer Choice Plan Enrollees Only
This list covers hundreds of preventive medications at no cost to you!
Preventive medications include drugs like blood thinners, medicines used to treat high cholesterol and hypertension, beta-blockers, antidepressants, and more.
Medications that are not on the preventive medication list will be 20% coinsurance after you meet your deductible.
Maintenance Medications
The Maintenance Choice network makes filling your maintenance medications easy. You have options for convenient home delivery through CVS mail order or local options, including:
- CVS/Target Pharmacy
- Costco Pharmacy
- King Soopers
- And more!
Easy and Cost-Effective
The Maintenance Choice network ensures the best pricing for these medications to ensure the long-term success of our benefits package.
Plus, if you're enrolled in the Hybrid Plan, you receive 90-day mail-order supplies at the cost of a 60-day supply!
Maintenance Choice
You must use Maintenance Choice to fill maintenance medications.
These are long-term prescriptions that you fill for at least an 84-day supply.
Find the full list of participating pharmacies in your Aetna member portal!
PrudentRx Copay Program
For Hybrid Plan Enrollees Only
The PrudentRx Copay Program allows you to get select specialty medications at no cost to you. If you need a covered medication, PrudentRx will work with manufacturers to assist you and manage enrollment and refills on your behalf.
If you're currently taking a covered medication, PrudentRx will reach out to you to register for the program. You must register to be fully enrolled. If you are currently enrolled in the PrudentRx, you do not need to re-enroll.
For specialty medications that are not on the PrudentRx list, your cost is capped at a $200 copay for a 30-day supply.
Free Diabetes Drug Program
With your pharmacy benefits, you can get the medications and supplies you need to manage type 1 or type 2 diabetes—all at no cost to you!
Equitable Access
Eliminating cost as a barrier to diabetes care is critical to support everyone on a Boulder County medical plan and live up to our values.
Need More Support?
Decide what "healthy" means for you with dedicated support, smart devices, and more. Omada is available at no additional cost on the Boulder County medical plan.
No Enrollment Necessary
You do not have to enroll for this program! Your diabetes drugs and supplies will cost $0 when you present your Boulder County insurance card.
Contact HR
Call | 303-441-3525 TTY | 800-659-2656
Location
2025 14th St. Boulder, CO 80302
Mailing Address
PO Box 471 Boulder, CO 80306