Frequently Asked Questions
About the Retail Program
- Can I receive additional prescription ID cards?
- May I obtain my medicine from a non-participating pharmacy?
- How do I transfer my prescription from a non-participating retail pharmacy to a Caremark participating retail pharmacy?
- When should I use a retail pharmacy instead of the mail service program?
- When should I use an Extended Days' Supply (EDS) Network Pharmacy?
- Do I need my doctor to write a new prescription for a 31-to 90-day supply of maintenance drugs at an EDS network pharmacy?
About the Mail Service Program
- Why should I use the Caremark Mail Service Program for my prescriptions?
- How long does it take for my prescription to arrive by mail?
- How do I check on the status of my order?
- How should I ask my doctor to write my prescription to receive the maximum benefit from the mail service program?
About the Preferred Drug List
About the Retail Program Can I receive additional prescription ID cards?
Additional prescription ID cards may be obtained by contacting Caremark Customer Care toll-free at (888) 886- 8490.May I obtain my medicine from a non-participating pharmacy?
In most instances, you will not need to visit a non-participating pharmacy because there are more than 54,000 participating pharmacies in the Caremark program. When you choose to go to a non-participating pharmacy, you will pay 100 percent of the prescription price. You may then submit a paper claim form, along with the original prescription receipt(s), to Caremark for reimbursement of covered expenses.How do I transfer my prescription from a non-participating retail pharmacy to a Caremark participating retail pharmacy?
Go to a Caremark participating retail pharmacy and tell the pharmacist where your prescription is currently on file. The pharmacist will contact the pharmacy and make the transfer for you. To find a participating pharmacy near you, click on the Pharmacy Locator link under Quick Links.When should I use a retail pharmacy instead of the mail service program?
You can use a retail pharmacy for up to a 30-day supply of non-maintenance and short-term drugs. If the drug is a maintenance drug, you will pay an extra fee. The mail service program administered by Caremark provides a convenient and cost-effective way for you to order up to a 90-day supply of a long-term or maintenance medicine for direct delivery to you with free standard shipping.When should I use an Extended Days' Supply (EDS) Network Pharmacy?
An EDS Network Pharmacy allows you to purchase a 31-to 90-day supply of maintenance drugs without paying a retail maintenance fee. A 30-day supply of maintenance drugs still carries an extra fee.Do I need my doctor to write a new prescription for a 31-to 90-day supply of maintenance drugs at an EDS network pharmacy?
Yes, you may have to get a new prescription from your doctor if your current prescription is written for a 30-day or less supply of maintenance or long-term medicine.
About the Mail Service ProgramWhy should I use the mail service program for my prescriptions?
The mail service program administered by Caremark provides a convenient and cost-effective way for you to order up to a 90-day supply of long-term or maintenance medicine for direct delivery to you with free standard shipping. By using your mail service program, you minimize trips to the pharmacy while saving money on your prescriptions.How long does it take for my prescriptions to arrive by mail?
Your medicine will be delivered within 10 days from the time your order is received.How do I check on the status of my order?
Log in, go to the Prescriptions tab and click View Order Status or call Caremark Customer Care toll-free at (888) 886-8490.How should I ask my doctor to write my prescription to receive the maximum benefit from the mail service program?
Remind your doctor to write “90-day supply plus refills”, when clinically appropriate, for long-term medicines that are purchased through the mail service program administered by Caremark. Caremark must fill your prescription for the exact quantity of medicine that your doctor prescribes, up to your plan design limit. When you need to take your maintenance medicine right away, ask your doctor for two prescriptions – one for up to a 30-day supply and one for up to a 90-day supply with refills, when clinically appropriate. Have the 30-day supply filled immediately at a Caremark participating retail pharmacy and send the 90-day supply prescription to the mail service program.
About the Preferred Drug ListWhat is a drug list?
A drug list is a list of preferred prescription medicines that have been chosen because of clinical effectiveness and safety. This list is typically updated every three months. The drug list promotes the use of preferred brand name medicines and generic medicines whenever possible. Generic medicines are therapeutically equivalent to brand name medicines and must be approved by the U.S. Food and Drug Administration (FDA) for safety and effectiveness. Generic medicines typically cost much less than brand name medicines.
Where can I obtain a drug list?
Log in, go to the Plan & Benefits tab and click Covered Drug List (Formulary). You may also contact Caremark Customer Care at (888) 886-8490. To save money, have your doctor prescribe a generic or preferred brand-name medicine from the Preferred Drug List. You may want to take this list with you when you visit your doctor for a prescription.
What drugs require prior authorization?
Your health plan participates in a prior authorization program for specific prescription drugs. This means that you must get authorization before benefits can be paid for these drugs.