2026 Prescription Drug plans is CarelonRx and the network is Base Network.

Prescriptions can be filled at most pharmacies, check CarelonRx network for participating pharmacies.

For 90 day or home delivery prescriptions:

M90 Pharmacy: Is a pharmacy or Rx Maintenance 90 pharmacy are pharmacies that participate in the Rx Maintenance 90-day program with CarelonRx. CVS, Wal-Mart and Kroger are chain pharmacies that are part of the Rx Maintenance 90-day program. After you register you will find a complete list of M90 Pharmacies on Anthem at www.anthem.com or on the Sydney App.

Copay Rx Plan:

• Premium Copay medical plan includes a 3-tier copay prescription drug plan with in-network copays of $15, $50, $70.
• Basic Copay medical plan includes a 3-tier copay prescription drug plan with in-network copays of $15, $50, $100.

HDP/HSA Rx Plan:

With the HDP/HSA plan there are no copays, participants pay the full contracted rate for all services including prescription drugs up until the participant’s deductible ($3,300) has been satisfied, and then 10% of the cost until the participant’s maximum-out-of-pocket ($4,000) amount has been met. All out-of-pocket costs apply to the member’s deductible & maximum out of pocket.

Health Savings Account (HSA)funds can be used to cover the cost of prescriptions, medical, dental & vision out-of-pocket costs. If funds are not readily available at the time the Rx is filled, the employee can reimburse themselves later when there are funds in their HSA (provided that the charges occurred after the initial date the HSA was set up).

Carelon Rx:  Customer Service – 1-833-419-0530 Website: CarelonRx | PBM & Home Delivery Pharmacy

Questions – Contact the Benefit Resource Center at 855-874-0829 Monday through Friday 8:00 am to 5:00 pm Eastern & Central Standard Time