If your benefit plan allows, this form offers you the convenience of ordering your prescription drugs by mail.
Please print the form and mail with your original, written prescription and payment to:
Caremark
P.O. Box 2110
Pittsburgh, PA 15230-2110
Pharmacy Mail Order Form
On behalf of BlueChoice HealthPlan, Caremark assists in the administration of the prescription drug program. Caremark is an independent company.