The Prescription Drug Benefit Brochure provides detailed information about Quartz’s pharmacy benefits.
You can determine the copay level (tier) for your patient’s medications by reviewing Quartz’s Drug Formulary. The formulary lists medications by drug class according to the copay tier.
Quartz populates formulary information with the Surescripts hub for use in e-prescribing applications. Surescripts will display the copay tier of the medication.
Certain medications require prior authorization before coverage is provided.
Quartz’s Specialty Pharmaceutical Program provides high-quality clinical monitoring for patients using specialty medications while helping keep coverage of these products affordable.
Specialty medications are only covered with an approved Medication Prior Authorization and if obtained through a Pharmacy in Quartz's network.
The Quartz Drug Formulary includes the designation of “SP” if the medication is in the Specialty Pharmaceuticals program. Call UW Health Pharmacy at (866) 894-3784 or Gundersen Health System Pharmacies at (877) 208-1096 with questions or to help enroll a patient in the Specialty Pharmaceuticals program.