Confirm the exact product or service National contact — confirm product and location
Mailing address
Not researched for this route
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.
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.
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.
Wellpoint Iowa pharmacy department; CarelonRx is the PBM. Fax is retail pharmacy PA; medical injectables (medical benefit) fax 844-512-7026. ePA via CoverMyMeds.
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.
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.
Anthem New York pharmacy information page (CarelonRx PBM). Fax is retail pharmacy PA; medical injectables (including Medicaid members) fax 844-493-9206.
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.
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.
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.
Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.
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Separate pharmacy-benefit requests from drugs billed under the medical benefit. The PBM and the insurer may use different contacts.
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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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