Prescription Drug Forms
Mail Order Information
CVS Caremark RX Customer Care - (855) 839-5205
To access a prescription drug mail order form, log on to the Blue Cross of Idaho website and select the Pharmacy Benefits link on the members' home page.
PLEASE NOTE: Not all Blue Cross of Idaho policies include mail order pharmacy benefits. Please check your policy, if you are unsure, or contact Blue Cross of Idaho Customer Service at (800) 627-1188.
Prescription Drug Reimbursement Form
Please use this form to obtain reimbursement if you have paid full cost for medications at a pharmacy without using your benefits, such as at a non-contracting pharmacy. This form should not be used by members who have HSA coverage.