Out of Pocket Prescription Reimbursement
If you paid for a prescription while covered by CHP+, but before you enrolled in your health plan, you may ask the pharmacy for a refund.
Contact the pharmacy where you got the prescription. Give them your receipt, State ID number, BIN (018902), and PCN (P303018902). If you don’t know your State ID number or need help, call the pharmacy liaison. Call them at 303-866-3588.
You have 120 days from the date the prescription was filled to ask the pharmacy for a refund. Refunds are not promised.
There may be times when you are charged for the full cost of a prescription medication. This may be if you do not have your ID card when you go to pharmacy that is in our network. Or if you fill a prescription at pharmacy that is not in our network.
If you pay the full cost for a covered prescription medication, please follow these steps:
- Ask for an itemized receipt. This will show that you paid for the medication.
- Please also give us your name and address.
- Mail the itemized receipt and this form for reimbursement to:
PO Box 17950 Denver, CO 80217-0950
We will look at what you send to us. We may ask for more details if we need them. This could be if the medication that you paid for is not on the formulary list. Or if it needs preauthorization (preapproval).
This request must be completed within 120 days from when you paid for the medication. If we need more details, we will ask the doctor who prescribed the medication. If your request is approved, you will be reimbursed. The amount will be based on the cost of the covered medication, minus any applicable copay.