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University of Colorado Denver

The Office of Student Health

Prescription Drug Plan

Anschutz Medical Campus Student Health


Benefits are provided through MagellanRX. For questions regarding benefits or network participating pharmacies please call 1-800-424-5828 oronline at

RX Forms

RX Claim Form Anschutz Medical Campus_Prescription Drug Claim Form_MRX1051_0715.pdfAnschutz Medical Campus_Prescription Drug Claim Form_MRX1051_0715.pdf

RX Mail Order Claim Form MaRx_Mail Order Form_1114.pdf

RX Prior Authorizatin Form MRx Prior Authorization Form_1114.pdfMRx Prior Authorization Form_1114.pdf

Speciality Drug Program Specialty Pharmacy Drug List MRX0367_0715.pdfSpecialty Pharmacy Drug List MRX0367_0715.pdf

Formulary 3Q15 MRx Standard Formulary_MRX0102_0715_FINAL.pdf3Q15 MRx Standard Formulary_MRX0102_0715_FINAL.pdf


Information below is for the 14-15 plan year effective until 8/31/15.

Benefits are provided through OptumRX, a point-of-service provider. Please call 1-800-767-0700 or questions regarding benefits or network participating pharmacies or visit online at  

RX Forms



Office of Student Health

Phone: 303-724-7674

Street Address: Education II, North, Room #3208


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