Advocate Health Care
Prescription Benefits


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Prescription Benefits Overview

If you elect coverage under an Advocate-sponsored medical plan, you are covered automatically under the Advocate Prescription Benefits Program.

This program is managed by OptumRx.

If you are enrolled for coverage in the Advocate Centered EPO/DRP Medical Plan, Advocate Centered HMO Medical Plan or BCBS PPO/DRP Medical Plan.
For more information, visit or call OptumRx at 866.881.9461.

Optum Rx Transition Checklist – Click here to view and print

Important! Certain drugs – typically for treatment of rheumatoid arthritis, infertility, cancer and multiple sclerosis – are considered specialty drugs and are subject to specialty pharmacy provisions. For example, these drugs are available in 30-day supplies ONLY and must be filled by OptumRx / BriovaRx Specialty Pharmacy.

For more information...
Details regarding key features of the Advocate Prescription Benefits Program – including specialty drugs and performance drug lists – are provided in the materials listed below:

Prescription Benefits – 2017

Prescription Drug Program Video

Prescription Drug List - 2017

Prescription Drug Formulary Lookup

Pharmacy Locator

Free Diabetic Meter Program

Prescription Drug Reimbursement Claim Form

Mail Service Order Form


Specialty Drugs