Pharmacy

Extended Days’ Supply Pharmacy Benefit

CHP+ members who wish to fill a 90-day supply of medications that are taken regularly (known as “maintenance” medications) can simply have their prescriber write a prescription for a 90-day supply and present it to an in-network pharmacy. Certain medications, including controlled substances and specialty medications, are not be eligible for a 90 day supply.

Mail Order Pharmacy Benefit

Members who wish to have a 90-day supply of medication delivered to their home can choose to use Costco Mail Order Pharmacy. You do not need to have a Costco Membership to use this service. Standard shipping is free. To enroll, visit rx.costco.com and click “Sign in/Register”. Once you have followed the steps to create an online account, login to rx.costco.com and click on the “Request a New Prescription” link under Other Services.

1. Select “Mail Order” for where you would like to have your prescriptions fill
2. Select one of the 3 options for submitting your prescription
3. Provide your prescriber’s information, including their name, phone number, city, and state
4. Enter your prescription details, including drug name and strength under dosage
5. Enter any additional comments you have regarding the order
6. Click “Submit Request” to complete the request. If you have another prescription to order, click “+Add Another Prescription” and repeat steps 3-5 above.

If you have additional questions or wish to contact Costco Mail Order Pharmacy by phone, please call 800-607-6861. You may also use this telephone number to order refills 24/7 once your prescriptions are set up at their pharmacy. Your prescriber may fax in the prescription for your 90- day supply of medication to Costco Mail Pharmacy at 1-800-633-0334. Copays and out-of-pocket costs must be paid with either Visa or MasterCard credit cards.

Prescriber Portal for Pharmacy Benefit Medications

Prescribers can use their NPI to log in and view the CHP+ formulary, along with medication-specific prior authorization forms and criteria.

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
• Formulary Change Notification