Attention State of Illinois Open Enrollment Now Through June 2nd. Learn More
« Explore Benefits

Prescription Drugs

When you enroll in the HSHS medical plan, you automatically have prescription drug coverage.

Prescription drug bottles Prescription drug bottles

When you enroll in the HSHS medical plan, you automatically have prescription drug coverage through OptumRx. OptumRX provides safe, easy, and cost-effective ways to get the medication you need. 

Prescription drug deductible and out of pocket maximum is combined with medical deductible and out of pocket maximum for plan options you select.

Managing your pharmacy benefits can be confusing. OptumRx is here to support you by offering the online tools you need to navigate your pharmacy benefit. Watch the short video above to learn more about the tools that are available to you on optumrx.com.

In accordance to the HSHS Healthy Plan, Optum offers a variety of options for receiving your prescriptions:

The plan includes a cost-saving medication home delivery program called Mail Service Saver Plus. You are able to fill your prescription at a retail pharmacy up to two times. Then you must start using an HSHS pharmacy or home delivery from OptumRx or you will have to pay the full cost of your medication.

Get Started with OptumRx Home Delivery
HSHS pharmacies can be found in select HSHS facilities and elsewhere in the communities we serve. You can save time in your day by getting your prescription filled at or close to your work location. Experience the ease and convenience of using an HSHS pharmacy! Find a list of locations and hours below.
Save even more time with our Automatic Refill Program. It's an easy way to get automatic refills for the medications you take regularly. When it's time to refill your prescriptions, Optum will contact you to let you know that your order will ship soon. They will then bill your approved payment method of file and send a 3-month supply right to your door. Click here for more information.
You could save time and money by getting maintenance medications from an HSHS pharmacy or through the mail using OptumRx home delivery. Use a HSHS pharmacy or OptumRx home delivery to get up to a 3-month supply of the medications you take regularly - often for less what you'd pay at a retail pharmacy. If you use OptumRx home delivery, your medication will come right to your mailbox. 
The plan's retail pharmacy network has thousands of retail pharmacies - including national chains and most independent pharmacies. For a complete list of participating pharmacies, use the Pharmacy Locator tool on the OptumRx App, at optumrx.com or call a customer service advocate at 1-844-720-0030, TTY 711.
  • You are able to fill a 90-day supply of non-specialty prescription drugs using Walgreens, in addition to HSHS pharmacies and the OptumRx mail order service.
You can fill your specialty medications at a HSHS pharmacy or Optum Specialty Pharmacy. To learn more, call 1-877-383-2907.
With OptumRx home delivery, pharmacists are available 24 hours a day, 7 days a week to answer questions about your medications or prescription benefits. You can call 1-844-720-0030, TTY 711 for assistance. 

Manage Your Benefits Online

HSHS Pharmacies

Filling your prescriptions just got easier! HSHS is proud to offer pharmacies in select HSHS facilities and elsewhere in the communities we serve. HSHS pharmacy locations will allow you to fill / refill your prescriptions, including any 90-day maintenance medications. Colleagues and their covered dependents may pick up prescriptions at the HSHS pharmacy of their choosing. Healthcare providers must send prescriptions to the respective HSHS pharmacy as they would for any other retail location. 

Pharmacy Locations

Springfield

Women and Children's Clinic
400 N. 9th St.
Suite 1500
Springfield, IL
Hours: Mon. - Fri., 8:30am - 5:30pm
www.st-johns.org/pharmacy
(217) 757-6045

Gillett
Inside Pat's Market

117 N. McKenzie St. 
Gillett, WI 
Hours: Mon. - Fri., 9am - 5:30pm 
https://www.stclarememorial.org/pharmacy
(920) 848-6323
 

Oconto Falls
HSHS St. Clare Memorial Hospital

855 S. Main St.
Oconto Falls, WI
Hours: Mon. - Fri., 8:30am - 6pm
Sat. & Sun., 9am - 2pm
https://www.stclarememorial.org/pharmacy
(920) 846-8059
 

Prescription Services:

These locations operate as an extension of our traditional pharmacies, with experienced pharmacy technicians onsite. All operations are supervised by a pharmacist, who works off site, and verifies all orders. Patients speak directly with a pharmacist through video monitors.

Lena
Inside Prevea Lena Health Center

200 S. Rosera St.
Lena, WI
Hours: Mon. - Fri., 9am - 5pm
(920) 829-6400
 

Mountain
Inside Prevea Mountain Health Center

14353 Hwy 32-64
Mountain, WI
Hours: Mon. - Fri., 9am - 5pm
(715) 276-1600
 

Pulaski
Inside Prevea Pulaski Health Center

940 S. St. Augustine St.
Pulaski, WI
Hours: Mon. - Fri., 9am - 5pm
(920) 272-3330