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 750 pharmacies that includes retail and an OptumRX home delivery pharmacy available to all Members. Prescriptions up to a 90 day supply may be ordered from most local retail pharmacies and from OptumRx home delivery.
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 copay discount. This discount will be the same whether you use a retail pharmacy or OptumRx home delivery pharmacy. Please check your plan documents for details. Some exclusions apply. 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
Home Delivery pharmacies offer convenient home delivery of medications that you use on a regular basis. RMHP is proud to partner with OptumRx home delivery services.
You can place a home delivery order with OptumRx by taking any of these actions:
Specialty prescription medications are usually high-cost medications that need special handling. We’re proud to partner with BriovaRx® as our preferred specialty pharmacy. With BriovaRx, you’ll have access to experienced pharmacists and nurses who can provide information about why your medication was prescribed, how it works, and how to administer and store it. Your medication will be shipped wherever you need it — in safe, temperature-controlled, and tested packaging.
If you have specialty medications you would like to fill through BriovaRx, you can:
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
Good Health Prior Authorization Drug List
Good Health Drugs Requiring Step Therapy
Medicaid Prior Authorization Drug List
Medicaid Drugs Requiring Step Therapy
View Printable Medicaid Prior Auth Drugs
View Printable Commercial Prior Auth Drugs
View Printable Medicare Part B Prior Auth Drugs
Submit a Formulary Exception Request Online
Brand Name Drug Request Form
Use these resources to learn more about medication costs and generic drugs.
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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.