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Understanding Pharmacy Benefits

GHC-SCW operates pharmacies within the Capitol, Sauk Trails and Hatchery Hill clinics. The advantages of using a GHC-SCW pharmacy are:

• Our pharmacies are non-profit, meaning competitive prices
• Our pharmacies can take time to answer your questions
• They work closely with your GHC provider
• Our pharmacies offer the ability to quickly order prescription refills via GHCMyChart

We can transfer most prescriptions from your old pharmacy. A limited number of OTC drugs are also available.

Through the Mail

Prescriptions can also be requested by mail through NoviXus Mail Pharmacy. Please call (888) 240-2211 or visit NoviXus for more information.

GHCMyChart and Your Prescription Benefit Information

Log on to GHCMyChart and select "My Records" and then "Prescription Benefit Information" to:

• Find other participating pharmacies
• Look up your prescription claims history
• Drug side effects, interactions information, generic availability
• Find out what your copayment is for a specific drug

Always bring your GHC-SCW identification card to an eligible pharmacy. The card provides the information your pharmacy will need to fill your prescriptions. Questions? Call the pharmacy benefits team at 608-828-4811, Mon. - Fri., 8 a.m. - 5 p.m.

Provider Navitus Website Use

Providers can select the button below to visit Navitus to access Prior Authorization Forms and more.

Drug Formulary

Non-compounded prescriptions with a cost of $1,200 or more are subject to review before your pharmacy can fill it for you.  Compounded prescriptions with a cost of $100 or more are subject to review and will be assigned a copay tier before your pharmacy can fill it for you.​

Please click below to view our drug formularies. You can look up the formulary used by your benefit plan here. 

• GHC-SCW 3 Tier Formulary
• GHC-SCW 4 Tier Formulary         
• GHC-SCW Marketplace Formulary (sometimes called Metal, Shop or ACA Formulary)
• GHC-SCW Mandated Formulary ​
  
• How To Read A Formulary Document ​
  
• Transition of Care 
• Recent Formulary Changes ​
  

In-Network Pharmacies

For a listing of common national and regional pharmacy chains available in your network, please click he​re. If you have any questions about whether your chosen pharmacy is considered in-network, please contact GHC-SCW Member Services at (800) 605-4327. To search for a network pharmacy by zip code, please click here.

Approved Specialty Pharmacies

Members with medications that require dispensing through a Specialty Pharmacy Provider must use one of the following:

• GHC-SCW Pharmacies (see contact information below)
• UW Specialty Mail Service Pharmacy (608) 263-1292
• Walgreens Specialty Pharmacy (888) 282-5166​
  

GHC-SCW Pharmacy Locations

Capitol Clinic Pharmacy

(608) 257-9732
Mon. - Fri., 8 a.m. - 7 p.m.
Sat. - Sun., 9 a.m. - 5 p.m.

Hatchery Hill Clinic Pharmacy

(608) 661-7242
Mon., Wed., Thurs. and Fri., 8 a.m. - 6 p.m.
Tues., 8 a.m. - 7 p.m.

Sauk Trails Clinic Pharmacy 

(608) 257-4869​​

Mon., 8 a.m. - 7 p.m.

Tues. - Fri., 8 a.m. - 6 p.m.​