CarelonRx

CarelonRx number for questions about drug policies, obtaining clinical criteria, or speaking to someone about a prior authorization/exception request. Medicaid plans may use different numbers on the member ID card.

CarelonRx Pharmacy accepts e-prescriptions (search 'CarelonRx Pharmacy'); prescribers can alternatively call this number.

For dispensing pharmacists with claim-processing issues, commercial plans.

For dispensing pharmacists with claim-processing issues, Medicare plans. Medicaid: number on the back of the member ID card.

Wellpoint Pharmacy department (Wellpoint works with CarelonRx to administer pharmacy benefits). Fax is for outpatient pharmacy drugs; medical injectables use fax 844-490-4873. ePA via CoverMyMeds.

Medical Injectables Prior Authorization form fax for Wellpoint Maryland Medicaid members. Not for retail pharmacy drugs.

Wellpoint Pharmacy Prior Authorization Center (CarelonRx is the PBM). Fax is retail PA; medical injectables PA fax 844-509-9865. Includes step therapy exception requests.

Medical injectables PA fax for Wellpoint New Jersey Medicaid. Not for retail pharmacy drugs.

Wellpoint Iowa pharmacy department; CarelonRx is the PBM. Fax is retail pharmacy PA; medical injectables (medical benefit) fax 844-512-7026. ePA via CoverMyMeds.

Medical injectables (medical benefit) PA fax for Wellpoint Iowa Medicaid.

Wellpoint District of Columbia works with CarelonRx to administer pharmacy benefits. Fax is for outpatient pharmacy drugs; medical injectables fax 844-487-9294. ePA via CoverMyMeds.

Medical Injectable Prior Authorization Form fax for Wellpoint DC Medicaid.

Wellpoint Texas Medicaid/CHIP pharmacy PA (Wellpoint page names CarelonRx as PBM). Medical injectable/infusible PA fax 844-512-8995. CVS Caremark Texas addendum for Wellpoint lists the same PA phone/fax.

Medical injectable/infusible drugs PA fax for Wellpoint Texas Medicaid.

Anthem New York pharmacy information page (CarelonRx PBM). Fax is retail pharmacy PA; medical injectables (including Medicaid members) fax 844-493-9206.

Anthem NY medical injectables PA fax (including Medicaid members).

Wellpoint Washington pharmacy page (CarelonRx provides PBM services on behalf of Wellpoint Washington). Fax is retail PA; medical injectables fax 844-493-9209. ePA via CoverMyMeds.

Medical Injectables Prior Authorization Form fax (include HCPCS billing codes) for Wellpoint Washington Apple Health.

CarelonRx Pharmacy Help Desk for dispensing pharmacies needing help with an emergency supply fill (PAMC process) for Wellpoint Washington members. Not for prescriber PA.

Healthy Blue Louisiana pharmacy page: pharmacy department/CarelonRx PA by phone; retail PA fax to CarelonRx; medical injectables fax 844-487-9291. Medicare Part D uses CarelonRx Provider Services.

CarelonRx medical injectables PA fax for Healthy Blue Louisiana Medicaid.

Healthy Blue SC pharmacy page: CarelonRx PA phone; fax the Universal Prior Authorization Request Form: Medications. Medical injectables are handled by CVS/Novologix (844-345-2803, fax 866-494-9927), not CarelonRx.

CarelonRx Pharmacy Help Desk for Healthy Blue SC claims. Pharmacist line, not prescriber PA.