Prescription Drug Coverage
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Prescription Drug Coverage

Together with CCHP is proud to offer $0 Preventive prescriptions* to our members. Your plan also provides a broad retail pharmacy network of participating pharmacies, such as CVS, Kmart, Walgreens, Target, and Walmart.

Look up your Medications

Make sure your prescription is covered by reviewing the Together with CCHP Pharmacy Benefit Guide.
To search for your medication in the guide from your PC, simply click the "Ctrl" and  "F" keys to launch the search fucntion. Then, enter the name of the medication for which you are searching. Using a Mac? Use the "Command" and "F" keys instead.

Find a Pharmacy Location

To find a pharmacy location in our network, use: 

Express Scripts Pharmacy Location Search

When you get your prescription through an in-network pharmacy.

  • Any drug discount will already be applied.
  • Your pharmacist will charge you the amount you’re responsible for paying (such as any applicable copayment, coinsurance or deductible).Together with CCHP members can search for covered prescriptions in the formulary through CCHP Connect. Please note the Pharmacy Benefit Guide is updated throughout the year. Feel free to also reach out by contacting Customer Service if you have questions.

Mail order services

If you take maintenance medications for a chronic condition, you can get them through a mail-order pharmacy. Maintenance medications are drugs that are taken on a regular, long-term basis. This may include drugs to treat conditions such as high blood pressure, diabetes, asthma, and high cholesterol.

Download the Mail Order Form.

Step Therapy Protocol

Together with CCHP utilizes a step therapy process to ensure our members can get the medication they need at the most reasonable cost. Step therapy is the practice of using specific medications first when beginning drug therapy for a medical condition. Step therapy is a type of prior authorization. In most cases, the preferred first course of treatment may be a generic drug(s) or drug(s) that is considered as the standard first-line treatment. Preferred first courses of treatment are also standard clinical practice and based on clinical practice guidelines. When trying to fill a drug that is part of a step therapy protocol, it may be automatically approved if your records show that you have already tried the preferred first course of treatment. If there is no record of you having tried the preferred first course of treatment, your physician must submit relevant clinical information to the Together with CCHP Pharmacy Department to determine if the requested drug will be covered.

 

If you feel that an exception to the step therapy process should be granted, your provider may file an exception request by completing the form found in the Pharmacy Authorization section of our website.


*For a list of covered preventive prescription drugs, please view the Together with CCHP Pharmacy Benefit Guide.

Medicaid

Children's Community Health Plan

PO Box 56099
Madison, WI 53705
1-800-482-8010

Together with CCHP

Children's Community Health Plan

PO Box 1997, MS 6280
Milwaukee, WI 53201
1-844-201-4672

 

National Committee for Quality Assurance (NCQA) Accreditation

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