Pharmacy information
Retail pharmacy information
When you use a network pharmacy, you’re only responsible for paying your copayment or coinsurance*.
*Consumer Option members must meet their deductible first.
When you use a non-participating pharmacy, you may have to pay your entire prescription amount up front. And, you’ll need to file a claim with us using the Pharmacy Claim form. Prescriptions filled at a non-network pharmacy may be subject to a benefits reduction. See the Official Plan Brochure under Official Plan Documents.
Overseas enrollees should note that this benefit reduction does not apply to covered prescriptions filled by overseas pharmacies.
Save money and make the most of your benefit plan by choosing the generic or preferred brand equivalent. Be sure to share the Prescription Drug Guide/Formulary with your physician when a drug is prescribed.
Please note: Prescriptions filled at a non-participating pharmacy aren’t covered under the MHBP Value Plan or Consumer Option.
Mail order pharmacy information
MHBP offers you maximum convenience and lower out of pocket costs through our mail order pharmacy benefits. You may order your prescriptions by mail, internet or phone.
A long-term maintenance medication is one that is taken regularly for chronic conditions or long-term therapy. A few examples include medications for managing high blood pressure, asthma, diabetes or high cholesterol. We have a program that allows members to have their 90-day supply medications delivered by mail. Or they can be picked up at any CVS Pharmacy®.
If you have any questions about this program, call CVS Customer Care at 1-866-623-1441(TTY: 711).
Follow these instructions to get your mail order pharmacy started. The first time you visit the CVS Caremark website, you’ll need to register if you are the enrollee, a covered spouse, or a covered dependent child over the age of 18.
- Visit the Caremark website
- Select the “Sign In” link in top right hand corner and enter your login and password credentials
- New users should register, you can create and account using Member ID, personal information or prescription number (Mail Rx#) and follow instructions
- Select “Start a New Prescriptions” and then select “FastStart”
- Fill in your information
- Enroll in prescription coverage by phone
- Call FastStart® toll-free at 1-800-875-0867 (TTY: 711) Monday through Friday, 7 AM–7 PM CT
- Let the representative know you wish to fill your prescription through mail service
- Provide the information on your MHBP ID card; the names of your long-term medicines; your doctor’s name and phone number; and your payment information and mailing address
Ask your doctor to call FastStart toll-free at 1-800-378-5697
- Visit the Caremark website and sign in or register, if necessary
- Click on “Start a New Prescription” and then click on “FastStart”
- Fill in your information
If you have a new mail order prescription that you will be using on an ongoing basis, ask your physician to prescribe two prescriptions for you.
- The first prescription should be for a 30-day supply that you can use right away at a retail pharmacy
- The second prescription should be used for a three-month supply and should be sent to the mail-order pharmacy
Once you know that you’ll be using this medication on an ongoing basis, send the second prescription to the mail-order pharmacy using the Mail Order Form.
Please note:
- Follow the instructions on the form carefully to avoid any processing delays
- Your order will be filled for the exact amount of medication prescribed by your doctor, so please check the quantity on your prescription slip to make sure it is correct
- Allow three weeks for delivery of your mail order prescriptions
You can order refills by phone, internet, mail, or the auto refill program. Order by the refill date on your prescription bottle to allow for processing and mailing time. Suggested refill dates will be included on the prescription you receive through mail order. This information will be on the prescription label.
- Call 1-866-623-1441 (TTY: 711) toll-free, 24 hours a day, 7 days a week for the CVS Caremark Mail Service Pharmacy automated refill service
- You can order refills 24 hours a day, 7 days a week through the CVS Caremark Website
- When ordering, be ready to provide the enrollee ID number, enrollee date of birth and credit card information
- To order refills by mail, use the CAREMARK Mail Order Form and enclose a check, credit card information or money order with the request
Please note: All drugs may not be available through the mail order program. For questions about the mail-order prescription drug program, or to ask about specific drugs or medications, please call 1-800-410-7778 (TTY: 711).
Pharmacy benefits are administered through Aetna’s affiliated pharmacy benefit manager, CVS Caremark.