Pharmacy Information
Weight Loss Medications:
Starting July 1, 2023, medications prescribed for weight loss or weight management will only be covered if they are prescribed by a Flyte physician. Flyte is a medical weight loss program offered to eligible State health plan members and their adult dependents. Eligibility requires being 18 years or older, having a BMI of 30 or higher, or a BMI of 27 with one weight-related condition (i.e., diabetes, heart disease, sleep apnea, etc.). Check your BMI.
If your prescription was written before June 30, 2023, you will be able to continue with refills as prescribed by your provider.
You can learn more about the Flyte medically supervised weight loss program by reviewing the FAQs, calling a Care Coordinator at 833-740-3258 or visiting the Flyte website.
- If you meet the criteria for this program, you will receive information on how to enroll using the Evolve app.
- For questions on pharmacy benefits, contact a Care Coordinator at 833-740-3258.
Medications Denial Information:
If your Weight Management Medication was denied at the pharmacy, common reasons are:
- A state approved Flyte provider did not prescribe this medication. Please enroll by visiting joinflyte.com/care-compass and filling out the application.
- The Prior Authorization has not yet been processed. Please wait 5 business days and then call your pharmacy to attempt processing again. We do not recommend going to your pharmacy directly as there may be other issues delaying processing.
- Refill too soon. You may be attempting to refill a prescription before you can. Please check your prescription label for the number of refills allowed and how long your supply should last before attempting to refill.
If these situations do not apply to you, please contact Caremark at 800-318-2572 for assistance.
Frequently Asked Questions Check your BMI Complete Flyte application
90-Day Supply For Maintenance Medications:
If you or your family member takes a maintenance medication, you are required to get your maintenance prescriptions as 90-day fills. You can get your first 30-day fill of a new medication at any participating pharmacy. After that, your two choices are:
- Receive your medication through the CVS Caremark mail-order pharmacy, or
- Fill your medication at a pharmacy that participates in the State’s Maintenance Drug Network (see the list of participating pharmacies).
To request an exemption to continue receive 30 days’ supply, have your provider complete the Mandatory Mail Exception form.
To check which copay amount applies to your prescriptions, visit www.Caremark.com. Once you log in or register, click Plan & Benefits, then Check Drug Cost & Coverage. Type the name of the drug you want to look up and the form and strength (if applicable), then click View Pricing.
Benefits Enrollment