As a value added service to our members, we offer the option of ordering their prescriptions by mail. If you take prescription medications on a regular basis for allergies, high blood pressure, diabetes, arthritis, or other ongoing conditions, consider home delivery. It’s a service available at no additional cost to you.

When you order prescription drugs through CVS Caremark, you must order at least a 30-day supply, and no more than a 90-day supply of the drug.

Generally, it takes 14 days to process your order and ship it to you. However, sometimes your mail order may be delayed. If for some reason your order cannot be delivered within 14 days, a pharmacy representative may contact you.

Benefits of Home Delivery

• You can skip the trip to a participating pharmacy – your prescriptions are delivered directly to your home.
• You don’t have to pay for home delivery – standard shipping of your prescriptions is free.
• You only need to order refills once every three months – you get up to a 90-day supply of your medication with each order. (**except opioids)
• You can speak to a pharmacist anytime, day or night – the Pharmacy never closes.
• You can order refills from home – by phone, fax, mail or Internet. To order a refill by mail, click here.
• You can access the Caremark member web portal at https://www.caremark.com/

For more information about having your prescriptions delivered to your home from the Pharmacy, please call Member Services at 1-800-322-8670 (TTY: 711), 8 a.m. – 5 p.m., Monday through Friday (except holidays). Or, you may e-mail Member Services at HCHComments@azblue.com.

We cover both brand name and generic drugs. Generic drugs have the same active ingredient formula as a brand name drug, but generic drugs usually cost less than brand name drugs. Generic drugs are rated by the Food and Drug Administration (FDA) to be as safe and effective as brand name drugs.

Some covered drugs may have additional requirements or limits on coverage. These requirements and limits may include:

Prior Authorization: We may require prior authorization for certain drugs. You will need to get approval from us for drugs noted with a “PA” in the drug list or for any drugs not listed in the formulary. If you do not get approval, we may not cover the cost of the drug.

Medication Prior Authorization Criteria
Pharmacy Services Prior Authorization Form

Quantity Limits: For certain drugs, our plan may limit the amount of the drug that we will cover. For example, we provide 30 units per 30 days of Zolpidem.

You can ask us to make an exception to these restrictions or limits. For more information about prescription drug restrictions or limits, please call Member Services toll-free at 1-800-322-8670 (TTY: 711), 8 a.m. – 5 p.m., Monday through Friday (except holidays).

What if the drug I need is not on the Prescription Drug List or the drug has a restriction such as a Quantity Limit, Step Therapy, or Prior Authorization requirement?

Your provider can:

• Prescribe a similar drug that is on the prescription drug list or
• Ask us to make an exception and cover the medically necessary drug through the prior authorization process.  Your provider can submit an exception request online, by phone, or by fax.
  • Submit the request online at  https://healthchoice.promptPA.com or
  • Call Member Services at 1-800-322-8670 or
  • Send the request by fax at (877) 422-8130.

Most of our members receive prescriptions at $0 (no cost). A mandatory copay of $2.30 is charged to persons in families with children who are no longer eligible due to earnings, also known as Transitional Medical Assistance (TMA).