Medication Center
Check here for Information about CHP's Commercial Drug List, Specialty Pharmacy Services, pharmacy network, and safe medication practices.
For general information on medications (side effects, storage concerns, drug interactions, and the benefits of prescribing generics), visit www.caremark.com
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Commercial Performance Drug List
Capital Health Plan encourages the use of generics as the first-line of prescribing. Generic medications are the lowest-cost options to our members and are available at a Tier 1 copay.
If a generic is not available for the condition you wish to treat, the use of a brand name medication found on our Commercial Performance Drug List is preferred. These medications will have a Tier 2 copay. Any brand name not found on this list is considered non-preferred and may result in the highest pharmacy copay for your patient.
Specialty Pharmacy Services for Commercial Members
Effective September 5, 2008, specialty medications must be obtained through Caremark Specialty Pharmacy Services in order to be covered. Capital Health Plan members that are currently receiving a specialty medication will receive a letter instructing them to contact Caremark to initiate enrollment. Caremark will contact the prescriber to obtain a new prescription. For new starts of specialty medications, physicians will need to obtain and complete a Caremark Specialty Enrollment Form (msword 125.00 kB) and, if the drug requires prior authorization, a drug specific Prior Authorization Request Form. Upon completion, the enrollment form should be faxed to Caremark and the Capital Health Plan Care Coordination Department, while the Prior Authorization Request Form should be faxed only to the Capital Health Plan Care Coordination Department.
Safe Practices for Medications
Below are some websites to the Food and Drug Administration and the Institute for Safe Medication Practices that contain important information on patient safety:
- List of Error Prone Abbreviations, Symbols, and Dose Designations
- List of Confused Drug Names
- List of High Alert Medications
- Food and Drug Administration (FDA) Drug Recalls, Market Withdrawals, and Safety Alerts
- USP-ISMP Medication Error Reporting Program
Capital Health Plan Pharmacy Network
Capital Health Plan contracts with over 62,000 pharmacies nationwide. To locate a pharmacy in our network, use our pharmacy locator. Capital Health Plan members may also contact Caremark’s customer service department at 1-800-966-5772.
