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Prescriptions

Sierra Spectrum (PPO) maintains a Preferred Drug List (sometimes known as a formulary), so when your Sierra Health and Life contracted provider makes a selection from this list, your out-of-pocket cost is lower. For a higher copayment, Sierra Spectrum also provides coverage for medications not included on our Preferred Drug List. The Preferred Drug List is reviewed periodically and is subject to change throughout the year. For information on the prescription drug coverage available to Sierra Spectrum members, click on the links to the left.

Sierra Spectrum has contracts with pharmacies that equal or exceed the CMS requirements for pharmacy access in your area, and has more than 45,000 contracted pharmacies in the network.

Sierra Spectrum offers three mail order programs:

OptumRx: To order prescriptions for the first time or to order a new prescription through OptumRx, click here (OptumRx Application). Print, complete and mail the application (along with your prescription and the applicable copayment) to:

OptumRx
P.O. Box 509075
San Diego , CA 92150-9075

To order a prescription refill online through OptumRx, click here.

Express Scripts: To order prescriptions for the first time or to order a new prescription through Express Scripts, click here (Express Scripts Application). Print, complete and mail the application (along with your prescription and the applicable copayment) to:

Express Scripts, Inc.
P.O. Box 52171
Phoenix , AZ 85072-9907

To order a prescription refill online through Express Scripts, click here.

Walgreens: To order prescriptions for the first time or to order a new prescription through Walgreens, click here (Walgreens Application). Print, complete and mail the application (along with your prescription and the applicable copayment) to:

Walgreens Mail Service
P.O. Box 29061
Phoenix , AZ 85038-9061

To order a prescription refill online through Walgreens, click here.

The Preferred Drug List is subject to change at the sole discretion of Sierra Spectrum.

H2905_120928_204031 CMS Approved
Last update: 10/12



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