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Opioiod Risk Management Program

Opioid Risk Management Program

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Extended International Travel Medication Supply

Extended International Travel Medication Supply

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Quartz offers many kinds of prescription drug coverage. To learn about your drug coverage, login to MyChart. For tips on how to get the most value from your prescription drug benefits, review the Prescription Drug Benefit Brochure.

Your drug coverage may include different types of payments. These can be copays, coinsurance, or other out-of-pocket costs.

Once you know what your coverage is, go to the Drug Formulary. This lists all drugs covered on the drug benefit.  It also notes what medications need a Prior Authorization before Quartz will pay for them.

UW Health Pharmacies offer convenience and service with 15 Madison-area locations –

  • Free home delivery within Madison, Middleton, Fitchburg and Monona city limits
  • Refills mailed to your home
  • Order UW Health Pharmacy prescription refills online

Gundersen Health System® Pharmacies offer convenience with 9 La Crosse-area locations –

  • Free home delivery within the La Crosse, Onalaska, Holmen, and La Crescent city limits
  • Refills mailed to your home
  • Order Gundersen Health Pharmacy prescription refills online
Choice90 Extended Supply Program

Choice90 Extended Supply Program

Choice90 makes it easy to receive a 90-day supply of the medicines you take most often.

You pay one copay for prescriptions that last one to 30 days, two copays for prescriptions that last 31-60 days, and three copays for prescriptions that last 61-90 days. Some medications may be less expensive than your copay and that savings is passed on to you.

Your medicine may be covered in the Choice90 program if:

  • The medication is listed as a maintenance medication in a select national database
  • The cost is within the Choice90 limits
  • All other benefit requirements have been met including prior authorization, step therapy, generic substitution, quantity limits, or other restrictions*

The Quartz Formulary flags all drugs that are maintenance medications with the notation "C90."

Participating pharmacies are listed in Find a Pharmacy.

If you want your medication mailed to you, ask your pharmacy if they offer free mailing or delivery. Many pharmacies offer this service, so shop around. This is NOT a program requirement.

*Medications included in the Quartz Specialty Programs are not part of the Choice90 program. These medications are listed with the letters “SP” in the drug formulary.

New Member, Emergency and Vacation Drug Supply

New Member Drug Supply

Members new to Quartz may be taking medicines that need a Prior Authorization for coverage. Quartz's formulary will note the drugs that need Prior Authorization. In this case, Quartz will authorize coverage for these drugs for up to 90 days (in 30 day increments at the usual copayment). After those 90 days, prior authorization will be required for additional coverage. In the meantime, new members should talk to the doctor who prescribed the medicine. The doctor can check to see if a different drug will work.

To request a “New Member Override,” you or your pharmacy can call Quartz Pharmacy Services at (800) 788-2949. This should be done within the first 90 days of becoming a Quartz member.

Please note: this policy only applies to medications that a member was taking prior to joining Quartz. Standard copays based on the member’s drug benefit and formulary status of the medication apply.

Medications that were covered by your previous insurance prescription drug benefit do qualify for a New Member Drug Supply.

Medications that do not qualify for a New Member Drug Supply include

  • Medications that were not covered by your prior insurance drug benefit
  • Medications provided by Sponsored Free Drug Programs from drug companies


Emergency Drug Supply

At times, you may have an urgent need for medicine that requires Prior Authorization. If you don’t have time to wait for Prior Authorization approval, talk to your pharmacist. Your pharmacy can call Quartz Pharmacy Services at (800) 788-2949 to get coverage for a five-day emergency supply. During the five days, it is your responsibility to talk to your doctor. Ask your doctor for a similar medicine or ask the doctor to submit a Medication Coverage Request Form to ensure continued coverage.

The emergency supply policy does not apply to all medications. It does not include drugs that –

  • Are excluded from coverage on your Prescription Drug Benefit
  • You have had previous emergency coverage

No copay is charged for the emergency supply. A full copay is charged for any additional orders of the medication.


Vacation Drug Supply

Members who are planning to travel should make sure they have enough medication for their entire trip. Do this in one of three ways –

  1. Call Quartz Pharmacy Services at (800) 788-2949 to get approval for an extra 30-day supply to take with you (copays apply).
  2. You can have your pharmacy send your medicine to your vacation address.
  3. Or, you can go to a Quartz-participating pharmacy where you’re staying. Quartz has a national network of participating pharmacies from which you can receive medications.

    These pharmacies include CVS, KMart, Kroger, Longs, Medicine Shoppe, Osco, Publix, Rite Aid, SafeMart, Shopko, Target, Walgreens, Walmart and more. Use Quartz’s Find a Pharmacy tool or contact Quartz Pharmacy Services for help identifying participating pharmacies in the area where you’re traveling.

    To pick up your prescription at one of these pharmacies, you need to call ahead give them the name and phone number of the pharmacy where you last filled the prescription. They will call and transfer the remaining refills.

At times, you may need to pay the full cost of a prescription when traveling. In this case, you can fill out a Direct Member Reimbursement Form and include proof of payment. Quartz will pay you back based on your plan coverage.