56751 MA WKT 2021 CA01ENR RXF 23590CA01EN21 200811 r1 FNL R

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CVS/caremark Mail Service Pharmacy Program: 
 Molina Medicare Complete Care HMO SNP Mail Order Prescription Service


You're important to us at Molina Healthcare. So we'd like to offer you a way to save time and money with Molina Healthcare's mail order prescription service. If you take one or more medications regularly (known as long-term drugs), we partner with CVS/caremark Mail Service Pharmacy Program to mail them right to your home! Each order contains up to a 90-day supply per prescription. No more trips to the pharmacy or waiting in line--your medicine comes to you!

Receive your long-term drugs at home in 3 easy steps:

Make sure your drugs are available through the CVS/caremark Mail Service Pharmacy Program Some long-term drugs aren't available through mail order. Check our
1 Formulary (List of Covered Drugs) or call our Member Services at (800) 665-3086, TTY: 711 users please call 711, October 1 ­ March 31: 7 days a week, 8 a.m. - 8 p.m., local time, April 1 - September 30: Monday ­ Friday, 8 a.m. ­ 8 p.m., local time to find out which ones are available.

Ask your doctor to write a 90-day prescription
2 Talk to your doctor about the mail order prescription service. To start, your doctor will write a 90-day prescription with up to three refills (if appropriate). This is the maximum supply your doctor can prescribe.

Note: If you need your drugs right away, ask your doctor for a 30-day prescription. 
 You can fill it at a network pharmacy while you wait for your mail order to arrive.


Choose one of these options to receive your orders:

Complete the CVS/caremark Mail Service Order Form attached to this letter. Mail the completed form, payment (if required), and your 90-day prescription to the address printed on the form.

Sign up online at www.caremark.com. If this is your first time on the

website, click on Register now to create an account. Once you log in, click

3

Prescriptions for a drop down menu, select Start Mail Service then follow the online steps.

Call CVS/caremark at (866) 467-5551, TTY: 711, 24/7. Provide your

Member number (on your Plan ID card), your prescription names, doctor's

name and phone number, and your mailing address.

Ask your doctor to place the order for you. Their office can call, fax, or ePrescribe your prescription to CVS/caremark at (866) 467-5551, TTY: 711, 24/7. Be sure to give your doctor your Member number (on you Plan ID card), date of birth, and mailing address so they can place the order.

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That's it! Once CVS/caremark receives your order and payment (if required), your prescriptions will arrive in the mail in 10 days. If you have any questions or if your medicine does not arrive on time, please call CVS/caremark at (866) 467-5551, TTY: 711, 24/7. When it's time to refill your long-term drug prescription... You can choose to receive a reminder when your long-term prescriptions need to be refilled. 
 CVS/caremark will call, email, or text message you the date you can refill your long-term 
 drugs. You can place your refill order by mail, online, or by phone. If you request a refill too 
 soon, CVS/caremark will let you know when you can request a refill. Once CVS/ caremark 
 receives your refill order and payment (if required), you will receive your prescriptions in the 
 mail in 10 days.
 If you have any questions or need help with the CVS/caremark Mail Service Pharmacy
 Program, please call our Pharmacy Call Center at (800) 665-3086, TTY: 711, 
 October 1 ­ March 31: 7 days a week, 8 a.m. - 8 p.m., local time, April 1 - September 30: 
 Monday ­ Friday, 8 a.m. ­ 8 p.m., local time. We are here to help!

This information is available in other formats, such as Braille, large print, and audio.