Frequently Asked Questions

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Member Services

call   801-442-5038

query_builder  Weekdays, 7 am to 8 pm
        Saturdays, 9 am to 2 pm
        Closed Sunday

If you would like to request the printed copy of any or all of our plan notices or materials, call Member Services at 800-538-5038.




How do I file an appeal?


What are quantity limits?
What is a formulary (a.k.a. a prescription drug list)?
What is a formulary tier?
What is a generic drug?
What is preauthorization?
What is step therapy?

Pharmacy Coverage

How do I obtain drugs that aren't covered on my plan?
How much will my prescription cost?
Which drugs or medications are covered on my plan?
Why are changes made to prescription drug coverage?
Why do prescription costs change?
Why isn't my drug covered?

Plan Information

Can I get a 90-day supply of my medication?
How do I fill a prescription?
Where do i find claim processing information?