CVS Caremark will administer the pharmacy benefits for members and their Covered Dependent(s) enrolled in Anthem Blue Cross and Blue Shield and UnitedHealthcare Non-Medicare Advantage Plan Options.
Note: Members do NOT have to go to a CVS pharmacy location for their prescriptions. CVS Caremark has a broad pharmacy network. Members and their Covered Dependent(s) can continue to use local retail and/or chain pharmacies to obtain their prescription medications. Please visit the CVS Caremark’s pharmacy locator tool at info.caremark.com/shbp to find a network pharmacy near you.
Prescribers: The 2022 prior authorization criteria can be found here. The criteria at this link is associated with the Anthem HRA plans, Anthem HMO plan, United HMO plan, and United HDHP plan. This criteria does not apply to the Kaiser Permanente plan or any of the Medicare Advantage plans.