Standard Option Retail Pharmacy Benefits
Caremark welcomes Blue Cross Blue Shield Service Benefit Plan members. Look up drugs covered by your benefit plan. Find out whether generic drugs or brand-name drugs with a lower co-insurance might help you save money.
Standard Option Mail-Order Pharmacy Benefits
For medications you take on a long-term basis, you may want to use your mail service pharmacy, Medco By Mail. You can get up to a 90-day supply for one copayment, so in most cases you'll save money over time.
Medco Mail Service Pharmacy Order Form
[PDF 95 KB]
Basic Option Retail Pharmacy Benefits
As a Basic Option member, you may go to any one of our Preferred retail pharmacies or our Internet pharmacies to obtain your medications. Just show your ID card at a Preferred pharmacy, and you'll receive Preferred prices on covered medications and supplies.
Download the appropriate pharmacy benefits form below:
Medco Mail Order Prescription Form
[PDF 95 KB]
[PDF 95 KB]
Retail Pharmacy Claim Form - English
[PDF 164 KB]
[PDF 164 KB]
Retail Pharmacy Claim Form - En Español
[PDF 40 KB]
[PDF 40 KB]
Overseas Retail Pharmacy Claim Form - English [PDF 164 KB]
Overseas Retail Pharmacy Claim Form - En Español [PDF 40 KB]