Pharmacy

Capstone Health Plan contracts with United Drugs for pharmacy benefit management services. The United Drugs network is very comprehensive. A listing of all participating pharmacies and the Capstone Formulary can be found on the United Drugs web site.

Capstone provides an Rx Quick Reference Guide to all PCP offices for inserting into the Member/patient chart. Please be sure to refer to the formulary prior to writing a Member's prescription. Whenever possible, prescriptions should be written for the generic equivalent per the formulary.

To avoid the Member experiencing delays at the pharmacy, please contact United Drugs to obtain a prior authorization when a non-formulary medication is prescribed.

Non-Formulary Prior Authorization

All non-formulary medications require a prior authorization to be obtained through United Drugs using the Non-Formulary Authorization Request Form. Complete the entire request form and fax to the following number:

United Drugs Fax Number: (602)-678-0941

You may also contact the United Drugs Help Desk if you need further assistance at:

United Drugs Help Desk: (800) 364-8865

Please obtain prior authorization approval before the patient goes to the pharmacy.

Pharmacy Limitations

Capstone Health Plan