Whether you have a one-time illness or a chronic condition, RMHP knows the proper treatment and medication is of the highest importance. Read on to learn more about what we offer with our prescription coverage. If you still have questions, we're happy to help.
We know our Members need access to their prescriptions in a timely fashion, so RMHP offers a pharmacy network of more than 700 pharmacies that includes retail and a mail service pharmacy (WellDyne Rx) available to all Members. Prescriptions up to a 90 day supply may be ordered from most local retail pharmacies and from WelldyneRX.
Retail pharmacies are ideal for one-time prescriptions or those prescriptions needed immediately. Most retail pharmacies will fill your maintenance prescription for a 90 day supply at your request, and you may receive a copayment discount. This discount will be the same whether you use a retail pharmacy or WellDyneRx mail service pharmacy. Please check your plan documents for details. Use our online Pharmacy Directory to find a local pharmacy close to your home or work, or contact our friendly Customer Service team.
Find a pharmacy
Mail Service pharmacies offer convenient home delivery of medications that you use on a regular basis. RMHP is proud to partner with WellDyneRx Mail Service Pharmacy.
RMHP is pleased to cover a wide variety of medications for our Members. The Drug Formulary is a list of the covered medications for your plan with RMHP. Drug coverage is carefully determined with active participation from our RMHP physician and pharmacist committee. Formularies include all of this detailed information:
Certain drugs must be prior authorized by the Pharmacy Department. To request prior authorization, please complete and submit the below form. You may also contact a representative at 970-248-5031 or 800-641-8921. When all required information is received by us, you will be notified of the authorization decision within 48 hours.
Submit a Prior Authorization Request Online - Commercial & Medicaid Members
Submit a Prior Authorization Request Online - Medicare Part D Members
Commercial and Medicaid Prior Authorization Drug List
Medicare Part D drugs requiring Prior Authorization
Commercial and Medicaid Drugs Requiring Step Therapy
Medicare Part D drugs requiring Step Therapy
View Printable Commercial & Medicaid Prior Auth Drugs
View Printable Medicare Part B Prior Auth Drugs
If you paid in full for a prescription medication that is eligible for reimbursement, complete and submit the appropriate form for reimbursement:
Affordable Care Act Over-the-Counter Prescription Claim Form
Prescription Claim Form for Medicare Part D Members
Prescription Claim Form for Commercial and Medicaid Members
Use these resources to learn more about medication costs and generic drugs.
Healthy employees build healthy businesses, and your employees receive the health protection they expect and deserve when you partner with RMHP. Whether you’re a small business or large employer, we have a group health insurance plan that will fit your employees’ needs.
Our plans offer the coverage, network, and health management resources you and your family need for your Colorado lifestyle. Get the personalized attention and quality care you deserve from your local health insurance option that has been serving our communities for over 40 years.