HealthKeepers, Inc. administers its pharmacy benefit and establishes prior authorization requirements in accordance with all applicable state and federal laws and regulations. CarelonRx is the pharmacy benefits manager (PBM) for Anthem HealthKeepers Plus members in Virginia.
The Anthem HealthKeepers Plus drug formulary contains a comprehensive list of drugs in commonly prescribed therapeutic categories, including preferred and non-preferred drugs, and drugs requiring prior authorization.
Some drugs or categories of drugs have a dedicated prior authorization form listed under the Pharmacy option on our Forms page. If no drug-specific form is available, please use the general form below.
Contact our pharmacy department for claims processing, prior authorization or formulary questions.
Contact CarelonRx for assistance with pharmacy point-of-sale (POS) or pharmacy claim questions.
CarelonRx, Inc. is an independent company providing pharmacy benefit management services and some utilization review services on behalf of HealthKeepers, Inc.
We look forward to working with you to provide quality service for our members.
©2020 copyright of Anthem Insurance Companies, Inc.
HealthKeepers, Inc. is an independent licensee of the Blue Cross and Blue Shield Association. Anthem is a registered trademark of Anthem Insurance Companies, Inc. Anthem HealthKeepers Plus, offered by HealthKeepers, Inc., is a health plan that contracts with the Virginia Department of Medical Assistance Services to provide Medicaid benefits to enrollees.
Availity, LLC is an independent company providing administrative support services on behalf of HealthKeepers, Inc. HEDIS® is a registered trademark of the National Committee for Quality Assurance (NCQA). CAHPS® is a registered trademark of the Agency for Healthcare Research and Quality (AHRQ).
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