Pharmacies

Note: The information on this page is for HDHP, Standard and High members. For prescription and pharmacy information for our other plans, visit the Elevate or Elevate Plus plan pages.

Get your prescriptions filled at more than 70,000 nationwide in-network retail locations. The in-network pharmacies include chains such as CVS Pharmacy, Rite Aid, Walmart and Walgreens, as well as independent pharmacies. If you use an in-network pharmacy, you and your covered dependents will be charged the applicable plan copay or coinsurance on prescriptions. There are no claims to file and no waiting for reimbursement.

 

Non-participating pharmacy

If you fill a prescription at a non-participating retail pharmacy, you will pay the pharmacy's usual and customary cost of the drug. Submit a completed CVS Caremark Prescription Drug Reimbursement Form along with your prescription receipt to CVS Caremark, P.O. Box 52136, Phoenix, AZ 85072-2136. Reimbursement will be based on GEHA's cost had you used a participating pharmacy. 

Home delivery

With CVS Caremark's Mail Service Pharmacy, you can save money and have your routine medication delivered to your home, postage-paid, within approximately 14 days from the time you mail your prescription. Some medications may require approval by CVS Caremark or GEHA and not all drugs are available through CVS Caremark. To use the CVS Caremark Mail Service Pharmacy, your prescriptions must be written by a licensed prescriber in the United States. In addition, your mailing address must be within the United States or include an APO address.

Although insulin, syringes, diabetic supplies and ostomy supplies do not require a physician's prescription, to obtain through CVS Caremark Mail Service Pharmacy you should obtain a prescription (including the product number for ostomy and insulin pump supplies) from your physician for a 90-day supply.

To order new prescriptions, ask your physician to prescribe needed medication for up to a 90-day supply, indicating refills if appropriate. Complete the information on the CVS Caremark Prescriptions by Mail Order Form; enclose your prescription and the correct copayment. Under regular circumstances, you should receive your medication within approximately 14 days from the date you mail your prescription. If you have any questions, you may call CVS Caremark toll-free at 844.4.GEHA.RX or 844.443.4279 24 hours a day, 7 days a week.

• Mail: CVS Caremark, PO Box 659541, San Antonio, TX 78265-9541
• Fax: You can ask your physician to fax your prescriptions to the CVS Caremark Mail Service Pharmacy. To do this, provide your physician with your ID number (located on your ID card) and ask him or her to fax the prescription to the CVS Caremark Mail Service Pharmacy fax number: 800.378.0323.
• Online: You can ask your physician to transmit your prescriptions electronically to the CVS Caremark Mail Service Pharmacy.

Presorted Rx packets

For added convenience and management of medications, your GEHA prescription benefits include access to presorted multi-dose packets. Presorted packets can be delivered to your home or, if available, picked up at a retail location.

Refilling your prescription

To be sure you never run short of your prescription medication, you should reorder when you have approximately 18 days of medication left. To refill a prescription, follow the steps below:

• Phone: Call Member Services at 844.4.GEHA.RX or 844.443.4279. Have your prescription bottle with the prescription information ready.
• Mail: Simply mail the GEHA Mail Service Order Form and copayment to CVS Caremark, PO Box 659541, San Antonio, TX 78265-9541.
• Online: Visit caremark.com.