Pharmacy

90-Day Medication Supply at Retail Pharmacies

Child Health Plan Plus (CHP+) offered by Colorado Access can fill certain prescriptions from validated prescribers for up to a 90-day supply. This must be done at an in-network pharmacy. To qualify for this benefit, the prescription must be written for a 90-day supply and must not be a controlled substance or specialty medication. Members may need to request that their pharmacy fill for a 90-day supply.

Navitus Health Solutions

Navitus Health Solutions manages our prescription drug benefits. Click here to visit the Navitus Health Solutions website. Click here for the Navitus prior authorization request forms. Please note, Navitus reviews all requests for prescription drugs that require prior authorization, including Synagis, as well as non-formulary exceptions, quantity limit exceptions, and step therapy exceptions. The link to Navitus Health Solutions will take you to a portal that includes the Synagis form. Please make sure to indicate if the patient will receive Synagis in office or will require home health administration. For more information about Synagis, please see our Provider FAQ at the bottom of the Provider Toolkit Page.

Plan Formularies & Pharmacy Forms

The following is a list of our formularies. A formulary is a list of prescription drugs that we cover. Prescription drugs on the formulary have been approved by the United States Food and Drug Administration (FDA) are safe and effective. The formulary is regularly reviewed and updated to reflect current medical standards of drug therapy.

• CHP+ offered by Colorado Access (HMO) Formulary