Pharmacy & prescription drugs
You get a wide range of prescription drugs and over-the-counter medicines. There are no copays for covered prescriptions. Anthem works with CarelonRx to provide your pharmacy benefits.
Find a pharmacyPreferred drug list
We have a list of commonly prescribed drugs your doctor can choose from. It’s called a Preferred Drug List (PDL). Covered drugs include prescription drugs and certain over-the-counter (OTC) medicines. There are no copays for drugs listed on the PDL when you have a prescription from your doctor. Your benefit includes many OTC medicines when you have a prescription from your doctor.
Your doctor may need to get preapproval from us for certain drugs. You’ll also need preapproval for brand-name drugs when generics are available. Your doctor’s request should tell us why a specific drug is needed and how much is needed. Drugs listed on the PDL with a PA beside them need preapproval. You can email and ask us for an exception at wrkgp-submitmyexceptionreq@anthem.com.
Searchable Formulary
Use our searchable formulary to find brand-name and generic drugs that are listed on your PDL.
You can search for your drug by doing any of the following:
- Typing the name (at least first three letters) of the drug in the search box
- Using the A-Z list to search by the first letter of your drug
- Clicking on the therapeutic class of the drug
If you need a drug that isn’t listed on our formulary, you or someone you choose to act for you can request a formulary exception. Just email submitmyexceptionreq@anthem.com.
How to get your prescriptions
Getting your prescriptions filled is easy. Simply take your written prescription to a plan pharmacy or ask your doctor to call it in. Be sure to show the pharmacy your Anthem member ID card.
It’s good to use the same pharmacy every time you fill a prescription. That way, your pharmacists will know about problems that could occur when you’re taking more than one drug. If you use more than one pharmacy, you should tell each pharmacist about all the medicines you’re taking.
Prescription Drug Home Delivery
You can get many prescription drugs shipped directly to your home through Alto Pharmacy.
- Receive up to a 60-day supply of certain medications
- Free delivery in 5 to 10 business days
- Fewer trips to the pharmacy
Contact Alto Pharmacy via:
- Phone: 800-874-5881 (TTY 711), Monday through Friday from 9 a.m. to 6 p.m. and Saturday through Sunday from 9 a.m. to 3 p.m. Pacific time
- Web: alto.com
- App: app.alto.com/login
Get your specialty medications
If you have a complex or chronic health condition that requires special medicine, we can help you get the medicine you need.
Learn more about specialty pharmacy