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PHARMACY

PHARMACY

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2024 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.

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 Getting Started with Home Delivery

On the website you can:

  1. Update your mailing address and phone number, if needed.
  2. Enter your correct payment information, credit card number or checking account.
  3. 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:

  1. You can call the Pharmacy Member Service number on your ID card.
  2. Online at anthem.com or through the Sydney app. Just visit the pharmacy page after you log in.
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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.