CarePlus Prescription Drug Guides
To find out if your prescription drugs are covered, please refer to the
Part D Utilization Management Requirements: Prior Authorization (PA), Step Therapy (ST), Quantity Limit (QL), and Exceptions
Part D Prior Authorization and Step Therapy Criteria
The Prescription Drug Claim Form or signed reimbursement request must be sent in writing.
Send the completed Prescription Drug Claim Form or signed reimbursement request to:
CarePlus Health Plans
Attention: Member Services Department
PO Box 277810, Miramar, FL 33027
Fax us at our toll-free fax number:
You can also find detailed information about requesting a prescription drug payment reimbursement in Chapter 7, Section 2 of your Evidence of Coverage, which is titled “How to ask us to pay you back or to pay a bill you have received”
You may review our Prescription Drug Direct Member Reimbursement Policy below: