Kaiser Permanente Direct Link

Kaiser members must obtain a prescription from a Kaiser in-network pharmacy or by Kaiser mail-order. To locate a Kaiser pharmacy near you log into your profile at kp.org.

UMR/United Healthcare Direct Link

UMR/United Healthcare’s prescription drug coverage is administered by Capital Rx. You will automatically receive prescription drug coverage if you enroll in one of the three UMR/United Healthcare medical plan options.

Prescription Drug Highlights

All three of our medical plan options include the same prescription drug coverage. Your out-of-pocket costs will vary based on where you fill your prescription—at a retail pharmacy or through mail order—and the type of medication you receive (e.g., generic vs. brand-name).

The prescription drug program includes two parts:

1. A national network of retail pharmacies for short-term medications
2. A mail order pharmacy service for long-term prescriptions

For ongoing or chronic conditions lasting more than two months, you’ll need to use the Mandatory Maintenance Program, which requires you to fill long-term prescriptions through Costco Home Delivery or a participating retail pharmacy.

Mandatory Maintenance Program

Petco's pharmacy benefit plan includes a maintenance medication program to ensure you take your medications regularly. This program requires you to fill maintenance prescriptions in 90-day supplies. You can do this at an in-network retail pharmacy or through Costco Home Delivery.

Obtaining a new 90-day prescription from your doctor, you are allowed one (1) 30-day grace fill at any in-network pharmacy to maintain access to your medication. After using the one-time grace fill, you will be responsible for the full out-of-pocket cost of your maintenance prescriptions if you do not have a 90-day fill prescription

How can my healthcare provider send my new prescription to Costco Home Delivery Pharmacy?

Once active with Capital Rx, new prescriptions can be sent to Costco Home Delivery through one of the following options:

• E-prescribe (preferred): Have your prescriber electronically send your prescription to Costco Home Delivery.
• Fax: Have your prescriber fax your prescription to Costco Home Delivery. Faxed prescriptions may only be sent by a doctor’s office and must include patient information.
• Mail: Mail your paper prescription to Costco Pharmacy at: 260 Logistica Ave., Suite B, Jeffersonville, IN 47130

Medication Coverage & Pricing Direct Link

The pharmacy drug list (formulary) is updated regularly. If you currently take prescription drugs or need prescription drugs during the year, it is important that you review this formulary list with your doctor. If your prescribed drug is not on the list, discuss with your doctor whether your treatment plan can include a generic alternative or, if not available or tolerated, a high-quality, preferred name-brand drug included in the Petco’s Flex Liberty Drug Formulary. For help with drug pricing and coverage, access the CapitalRX Medication Coverage & Pricing Tool.

Note that some drugs listed on this formulary tool may not be covered by your plan.

If you have questions regarding specific coverage, please call a Quantum Care Coordinator at 877-324-3536.