If you are a Medicare member, please check our Medicare section for information on your prescription drug benefits. ![]() Please note: Medicare members have a different drug list, called the Medicare Advantage Formulary. CHP may limit quantities for medications prescribed to be taken on a p.r.n.Also, Commerical Criteria for those selected medications are available for download. For instructions on how to obtain prior authorization, please contact Member Services at (850) 383-3311 Monday through Friday, 8:00 a.m. Certain prescription drugs require prior authorization for coverage.Refills on prescriptions are not covered until at least 75% of the previous prescription is used based on the dosage schedule prescribed by the physician. A prescription unit or refill is covered for up to a 30-day supply (or a 90-day supply of a generic drug at any participating retail pharmacy).For a complete list, refer to your handbook and commercial formulary document. Your Prescription Drug Benefit may be subject to limitations and exclusions. If you take long-term medications, you can fill your prescriptions through Express Scripts Home Delivery. If you take long-term medications, you can fill your prescriptions through Express Scripts Home Delivery or AllianceRx Walgreens Pharmacy.Ĭommercial and Marketplace members – Express Scripts Home Delivery is your new mail order pharmacy service offered through Capital Health Plan. Medicare members – Express Scripts Home Delivery and AllianceRx Walgreens Pharmacy are mail order pharmacy services offered through Capital Health Plan. Search for pharmacies throughout the nation using our online pharmacy database. ![]() Our pharmacy network includes thousands of pharmacies nationwide. The copayment amount is determined by the type of prescription drug dispensed. Find Medications Onlineįind medications online using this searchable online index to locate your prescriptions and your associated copayment. All formularies apply to benefit plans with a pharmacy benefit. The formulary publication is updated and posted monthly.
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