Members
Pharmacy information
Arkansas Public School and State Employees use another vendor for their pharmacy benefits administrator. For your benefits information, go to arbenefits.org.
- Using your pharmacy benefits
How to use your benefits and the advantages your pharmacy plan offers you. - View pharmacy claims on Blueprint Portal
Your prescription claims history, including prescription number, date filled, prescriber, quantity, pharmacy, amount paid by you and amount paid by your pharmacy plan. To access information about your personal pharmacy claims, you must register to use Blueprint Portal, our member self-service center. - Network pharmacy search
- Drug pricing
- Specialty drugs
A description of the program that covers injectable and select oral medications. - What is step therapy? [pdf]
Mail-order drugs
For those members with mail-order drug benefit, an online service is available, which allows you to:
- Refill your mail-order prescriptions;
- Check the status of your mail order;
- Review your mail-order prescription history.
- Mail-order drug list / Maintenance medications [pdf]
For more information, visit pharmacy site on Blueprint Portal. Or download and complete the paper form. [pdf]
Pharmacy forms
- Prescription Claim Form
[pdf]
- Prior Approval Form for Prescription Drugs [pdf]Information contained in this form is Protected Health Information under HIPAA Complete/review information, sign and date. Fax signed forms to CVS/Caremark at 855-245-2134 for prior authorization, step therapy, and quantity limit requests. Contact CVS/Caremark at 855-582-2022 with questions regarding the step therapy, prior authorization and quantity limit review process. For Non-Formulary Exception requests, fax the form to 501-378-6980. For Non-Formulary Exception request questions, contact 501-378-3392.