If you are new to Sutter Health Plus and you or your covered dependents currently pick up prescription drugs from a pharmacy outside the CVS Caremark® network, follow these steps to manage and transfer your prescriptions.
Before Your Effective Date
- Check to see if you have refills left on your active prescriptions.
- If you have refills available, fill them through your current health plan before your effective date to ensure you have an adequate supply on hand until you establish care with your new Sutter Health Plus provider
- If you do not have refills available, contact your current prescribing provider as soon as possible; refill your prescription through your current pharmacy before your effective date
- Request a written prescription to take to your new pharmacy to be filled on or after your new health plan effective date.
- Check the Sutter Health Plus Formulary to see if your prescription drug requires a prior authorization; if so, you will need to know about the Medication Continuity of Care process described in your Evidence of Coverage and Disclosure Form.
After Your Effective Date
- If you have refills available, take your prescription bottle to an CVS Caremark network pharmacy for up to a 30-day supply. The Express Scripts network pharmacy will work with your current pharmacy to transfer your prescription.
- If you have a written prescription from a provider, take it to a network pharmacy for up to a 30-day supply.
- If you take a prescription on a regular basis, consider using mail order fulfillment through CVS Caremark Mail Service Pharmacy. You may obtain up to a 100-day supply, as your benefit plan allows, of your maintenance prescription drugs for the cost of a two-month retail supply.
- If you take specialty medications, you must fill your prescription through CVS Specialty.
For more information about your pharmacy benefits, including retail, mail order and specialty drugs, please contact CVS Caremark Customer Service at (844) 740-0635 or visit caremark.com.