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Look up drugs1/19/2023 ![]() 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 Walgreens Mail. PrimeMail ® by Walgreens is a home-delivery pharmacy service 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 quarterly. If you are a Medicare member, please check our Medicare section for information on your benefits. After you register, you can check for drugs covered by your benefit, look up drug prices, search for a pharmacy near you, and view your pharmacy claim history and more. You can register at the website to help you manage your prescription drug benefit offered through Prime Therapeutics. The drug formulary is selected by Capital Health Plan in consultation with a team of health care providers. Your drug formulary lists all drugs your plan overs, plus any special rules you'll need to follow with certain medications.Ĭapital Health Plan utilizes Prime Therapeutics to administer our pharmacy benefits. A drug formulary is a list of covered drugs that represents the prescription therapies believed to be a necessary part of a quality treatment program. ![]()
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