Your Pharmacy Benefits with Coordinated Care
It’s important to Coordinated Care that our members receive drug therapy that is appropriate, high quality and cost effective. We work hard to ensure you have access to safe and effective medications that are medically proven to help you get healthy and stay healthy.
What kinds of Pharmacy Services are offered?
Coordinated Care covers certain prescription drugs and over-the-counter drugs when written on a prescription, by a practitioner in the Coordinated Care provider network. The pharmacy program does not cover all drugs. Some require prior authorization. Some drugs have limitations on age, dosage, or maximum quantities.
What is the Preferred Drug List?
The PDL is the list of drugs covered by Coordinated Care. Coordinated Care works with providers and pharmacists to ensure that medications used to treat a variety of conditions and diseases are covered. The PDL applies to drugs you receive at retail pharmacies. It also applies to mail order pharmacies. The Coordinated Care PDL is continually evaluated by the Pharmacy and Therapeutics Committee to promote the appropriate and cost-effective use of medications.
Click here to see the Preferred Drug List.
How do I get my medications?
You can have your prescriptions filled at a network pharmacy. At the pharmacy, you will need to give the pharmacist your prescription and your Coordinated Care ID card. If you need help finding a pharmacy near you call Coordinated Care’s Member Services at 877-644-4613 or use the instructions below.
How do I know which pharmacy to use?
To find a pharmacy that is in the Coordinated Care network, you can use the Find a Provider tool. Once you click on Provider Directory, type in your city or zip code then click on Update. Choose Other and type the name of your pharmacy or select the pharmacy type in the Select Specialty area. Only the network pharmacies are listed.
Can I get a 90 day supply?
Certain drugs are considered maintenance medications because they are used to treat long-term conditions or illnesses. If the drug you take is part of the Maintenance Drug Program, you may ask your provider to send your prescription to the Coordinated Care mail order pharmacy, RxDirect. RxDirect may be reached at 1-800-785-4197 or online at www.rxdirect.com/rxonline/. You can also receive a 90 day supply of these drugs at a retail pharmacy.