PHARMACY
2025 Pharmacy Plan
Anthem’s Pharmacy, CarelonRx (formerly known as IngenioRx), is the prescription plan carrier. Your prescription drug program allows you to obtain medications via mail or your in-network local retail pharmacy. If you take certain medications on an ongoing basis, you can save time and money by having those drugs filled with up to a 90-day supply at a in network retail pharmacy or the CarelonRx Mail Service. Be sure to ask your doctor for a 90-day supply of your maintenance medication.
Getting Started with Home Delivery
On the website you can:
- Update your mailing address and phone number, if needed.
- Enter your correct payment information, credit card number or checking account.
- Enroll for auto-refill, if you currently get your refills automatically.
Not set-up for Home Delivery? Did you know you can receive 90-days of your maintenance medications for the cost of 60-days when you sign-up for home delivery or have your maintenance medications filled at a 90-day supply at a CVS retail pharmacy. There are two easy ways to switch:
- You can call the Pharmacy Member Service number on your ID card.
- Online at anthem.com or through the Sydney app. Just visit the pharmacy page after you log in.
Resources
Specialty Medications
Specialty medications are filled through CarelonRx Specialty Pharmacy.
Contact the CarelonRx Specialty Pharmacy Care Team with any questions you might have.
You can reach them at 833-255-0645.
PPO 1500 Plan
| Generic Copay | Brand Formulary Copay | Brand Non-Formulary Copay | Specialty Copay | |
| Prescription Drug Retail (30 day supply) |
$15 | $45 | $70 | $100 |
| Prescription Mail Order (90 day supply) |
$30 | $90 | $140 | Not Covered |
HSA Plans
The prescription drug plan for the HSA Plans, called the Preventive Rx Expanded Plan, includes the majority of preventive health care medications covered at 100%. Medications not on this list will be covered at 90% if on the Enhanced HSA and at 80% if on the Core HSA after deductible.
