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Pharmacy

Our pharmacy services team is committed to serving our members and the physicians who care for them.

COVID-19 Information

How to Make Sure You Don’t Run Out of Important Prescriptions:

On March 11, 2020, Colorado declared a state of emergency. This means that you can get an extra one-time refill of any necessary prescriptions. This will help make sure that you won’t run out of the medicine you need. Prescriptions must have valid remaining refills to qualify.

Controlled substances (CII) medications can’t be refilled. CII medications may be filled early with a prescription from your doctor.

You can fill certain prescriptions from validated prescribers for up to a 90-day supply. This must be done at an in-network pharmacy. To use this benefit, tell the pharmacist that you would like a 90-day supply. They may need to call your doctor for authorization.

As of March 27, 2020, you have the option to get medications through the mail. This is through Novixus. Novixus is our network mail-order pharmacy. Click here to enroll.

    • To use this benefit, you need a prescription from your doctor for a 90-day supply. This must be submitted to Novixus. There are a few ways to do this:
      • Your doctor e-prescribes to Novixus.
      • Your doctor faxes the prescription to 877-395-4836.
      • Your doctor calls 877-269-1159.
      • You mail the prescription to PO Box 8004, Novi, MI 48376-8004.
    • Certain medications may not be eligible. This includes controlled substances and specialty medications.

Navitus Health Solutions

Navitus Health Solutions manages our prescription drug benefits. By Choosing Navitus, we continue our commitment to provide high quality prescription drug coverage to our members at reasonable costs. Navitus passes 100 percent of financial benefits and savings to its clients and their members. 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 medications that require prior authorization, This includes Synagis. The link to Navitus Health Solutions will take you to a portal that includes the Synagis form. For more information about Synagis, please see our Provider FAQs at the bottom of the page.
The link to the Synagis form may be found under Provider Forms.

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.

For commonly used pharmacy forms, click here