CareFirst BlueCross BlueShield

Pharmacy and drug authorizations

Separate pharmacy-benefit requests from drugs billed under the medical benefit. The PBM and the insurer may use different contacts.

pharmacy prior auth

Pharmacy prior authorization (commercial)

Official page read
Phone855-582-2038Published hours

Not published in this record

Product, plan and location

commercial
Maryland · District of Columbia · Virginia

Mailing address

Not researched for this route

Pharmacy pre-authorization line in the quick reference guide. Specialty pharmacy pre-auth uses 888-877-0518; general pharmacy questions 800-241-3371.

View source ↗ · Source checked 2026-10-25

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Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.

pharmacy prior auth

Specialty pharmacy prior authorization

Official page read
Phone888-877-0518Published hours

Not published in this record

Product, plan and location

commercial
Maryland · District of Columbia · Virginia

Mailing address

Not researched for this route

Specialty drug pre-authorization line in the quick reference guide.

View source ↗ · Source checked 2026-10-25

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Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.

pharmacy help desk

Pharmacy program questions

Official page read
Phone800-241-3371Published hours

Not published in this record

Product, plan and location

commercial
Maryland · District of Columbia · Virginia

Mailing address

Not researched for this route

General CareFirst pharmacy contact (carefirst.com/rx).

View source ↗ · Source checked 2026-10-25

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Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.

pharmacy prior auth

CareFirst CHPMD — pharmacy prior authorization / exceptions (CVS Health)

Official page read
Phone877-418-4133Published hours

Not published in this record

Product, plan and location

medicaid
Maryland

Mailing address

Not researched for this route

Medication prior authorization, step therapy, quantity limit and formulary exception reviews for CHPMD (Maryland Medicaid) members.

View source ↗ · Source checked 2026-10-25

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Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.

pharmacy help desk

CareFirst CHPMD — CVS Caremark mail-order (prescriber line)

Official page read
Phone800-378-5697Fax

800-378-0323

Published hours

Not published in this record

Product, plan and location

medicaid
Maryland

Mailing address

Not researched for this route

Menu guidance in the source record

Option 3

Menus can change. No live call verification is claimed.

Providers call option 3 for the CHPMD mail-order benefit and fax the Caremark form. Members enroll at 855-566-8397.

View source ↗ · Source checked 2026-10-25

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Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.

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Call preparation · editorial guide

Make the call count.

Separate pharmacy-benefit requests from drugs billed under the medical benefit. The PBM and the insurer may use different contacts.

Have ready in your secure workspace

  • PBM name and the pharmacy identifiers on the card
  • Drug, formulation and prescription information
  • Prescriber details and previous review reference

Questions to resolve

  • Is this processed under the medical or pharmacy benefit?
  • What is the correct review and submission channel?
  • Is there a separate specialty pharmacy or appeal team?

This is a general administrative checklist, not payer policy or advice about a particular patient. Confirm the current plan instructions.

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A request does not create an account or start a call. Use business contact information only. No patient information.

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