PHARMACY DIRECTORY AND LOCATOR TOOL
There are over 60,000 pharmacies in the extensive Care Improvement Plus Pharmacy network.
To locate current network pharmacies in your area click here.
All network pharmacies may not be listed in this directory. Please contact Care Improvement Plus at 1-855-633-4198 (Prospective Members), 1-800-204-1002 (Current Members), or TTY: 711, 7 days a week 8:00am - 8:00pm for additional information.
A network pharmacy is a pharmacy where beneficiaries obtain prescription drug benefits provided by Care Improvement Plus. In most cases, your prescriptions are covered under Care Improvement Plus only if they are filled at a network pharmacy or through our mail order pharmacy service. Once you go to one,
you are not required to continue going to the same pharmacy to fill your prescription, you can go to any of our
network pharmacies. We will fill prescriptions at non-network pharmacies under certain circumstances.
Can the list of network pharmacies change?
Yes, Care Improvement Plus may add or remove pharmacies from its pharmacy directory. To get current information about Care Improvement Plus network pharmacies in your area, we suggest you access our pharmacy locator tool.
How do I fill a prescription at a network pharmacy?
To fill your prescription at a network pharmacy, you must show your Care Improvement Plus Member ID card.
If you do not have your ID card with you when you fill your prescription, you may have to pay the full cost
of the prescription (rather than paying just your copay). If this happens, you can ask us to reimburse you for
our share of the cost by submitting a claim to us.
Click here for the prescription claim reimbursement form or to find out more information on how to submit a claim, please call Member Services at 1-800-204-1002 (Current Members), or TTY: 711, 7 days a week 8:00am - 8:00pm.
How do I fill a prescription through Care Improvement Plus' mail order pharmacy service?
To obtain prescription drugs by mail, use the following
Mail Order Form , or call Member Services at 1-800-204-1002 (TTY: 711), 7 days a week, 8:00 am - 8:00 pm.
Prescription drugs that you get through any
other mail order service are not covered. You can use the Care Improvement Plus mail order service to fill
prescriptions for any drug that is on the formulary list. When you order prescription drugs by mail, you may
order no more than a 90 day supply of the drug.
Filling prescriptions at a non-network pharmacy
The following are a few exceptions for when we will pay for a prescription filled at a pharmacy outside of our network.
Getting coverage when you travel or are away from the plan's service area.
If you take a prescription drug on a regular basis and you are going on a trip, be sure to check your supply of the drug before you leave. When possible, take along all the medication you will need. You may be able to order your prescription drugs ahead of time through our mail order pharmacy service.
If you are traveling within the United States and territories and become ill, lose or run out of your prescription drugs we will cover prescriptions that are filled at an out-of-network pharmacy.
In this situation, you will have to pay the full cost (rather than paying just your copay) when you fill your prescription. You can ask us to reimburse you for our share of the cost by
submitting a prescription claim form.
You can also call Member Services to find out if there is a network pharmacy in the area where you are traveling. If there are no network pharmacies in that area, Member Services may be able to make arrangements for you to get your prescriptions from an out-of-network pharmacy.
We cannot pay for any prescriptions that are filled by pharmacies outside of the United States and territories, even for a medical emergency.
What if I need a prescription because of a medical emergency or because I needed urgent care.
Other times you can get your prescription covered if you go to an out-of network pharmacy.
We will cover prescriptions that are filled at an out-of-network pharmacy if the prescriptions are related to care for a medical emergency or urgent care. In this situation, you will have to pay the full cost (rather than paying just your copay) when you fill your prescription. You can ask us to reimburse you for our share of the cost by
submitting a prescription claim form.
We will cover your prescription at an out-of-network pharmacy if at least one of the following applies:
- If you are unable to obtain a covered drug in a timely manner within our service area because there is no network pharmacy within a reasonable driving distance that provides 24 hour service.
- If you are trying to fill a prescription drug that is not regularly stocked at an accessible network retail or mail-order pharmacy (including high cost and unique drugs).
- If you are getting a vaccine that is medically necessary, but not covered by Medicare Part B and some covered drugs that are administered in your doctor's office.
Before you fill your prescription in either of these situations, call Member Services to see if there is a network pharmacy in your area where you can fill your prescription.
If you do go to an out of network pharmacy for the reasons listed above, you will have to pay the full cost (rather than paying just your copay) when you fill your prescription. You can ask us to reimburse you for our share of the cost by submitting a
prescription claim form. In order to ensure reimbursement, please submit claim forms no later than 60 days from the date of service.
*Care Improvement Plus has contracts with pharmacies that equal or exceed CMS requirements for pharmacy access in your area.
to access the Medicare Prescription Drug Plan Finder. By clicking this link you are now leaving the Care Improvement Plus website.
This page was last updated on: 6/28/2013 3:20:08 PM