Two Convenient Ways to Fill Prescriptions
At your local pharmacy - You can use your prescription benefit ID card at most chain and independent pharmacies across the country. Find a participating pharmacy near you at Caremark.com.
Through the Caremark Mail Order Pharmacy - If your doctor has prescribed a drug for you to take for a long time (also called a Maintenance Medication), you may be able to have up to a 90-day supply delivered directly to your home or location of choice from our mail order pharmacy by using the following English | Spanish form. When it’s time to get a refill you can order online or by phone anytime, day or night. You can also choose automatic refills. Click here for more information on ordering your prescriptions through the mail.
If you paid out of pocket for a covered medication and you were active on the date filled please utilize the following form with instructions for a reimbursement. Claim FormThe Rx Bin for Affinity is #004336. The reimbursement is issued through our Pharmacy Benefits Manager CVS. Should you have any questions about a claim reimbursement or the status of an already filed claim please call 1-855-722-6228
For Department of Health Locations for the disposal of unwanted Medications click here
Summary of Benefits and Coverage by Plans
Formulary (Drug) InformationTo find information regarding your prescription drugs and how we cover them click below. They are the same for all plans.
For AffinityAccess and AffinityAccess Direct PlansCovered Drug list (Formulary)Abridged Covered Drug list
Generic Drug Information: English | Spanish
Specialty medications These are high-cost, injectable, oral, infused or inhaled medications that are typically self-administered.
Specialty Guideline Management (SGM) SGM is our utilization management program that helps ensure appropriate utilization for specialty medication based on currently accepted evidence-based medicine guidelines. SGM is designed to ensure safety and efficacy while preventing off-guideline utilization. Medications that may be included in the SGM program are identified in the document as “SGM” for your reference. Prescribers may call 1-800-237-2767 to enroll patients in Specialty plan design.