Pharmacies and Prescriptions
Learn more about your Medicaid Pharmacy Benefits
A pharmacy is where you pick up your medications. Whenever your provider gives you a prescription, you must go to a pharmacy listed on the CareFirst CHPDC network. Please refer to our pharmacy directory.
If you have not yet received a new ID card and need to pick up or refill a prescription, have the pharmacy call Enrollee Services at (202) 821-1100 or (855) 326-4831 to look up your ID number.
To get a prescription filled:
- Choose a pharmacy listed on the CareFirst CHPDC network. We recommend that you choose a Pharmacy that is close to your home or place of work. Give the Pharmacist the prescription along with your CareFirst CHPDC Enrollee ID Card.
- If you need assistance, please call Enrollee Services at (202) 821-1100, toll free (855) 326-4831
or TTY (202) 821-1152.
- In some occasions your doctor may need to get permission from CareFirst CHPDC for a drug that is not on the CareFirst CHPDC formulary.
- If at any time you need to get a prescription filled and the CareFirst CHPDC network pharmacy is closed, contact the 24 hour Pharmacy hotline at (866) 287-6156 or CareFirst CHPDC Enrollee Services at (202) 821-1100, toll free (855) 326-4831 or TTY (202) 821-1152 to obtain permission to get your medication at an out of network pharmacy.
Useful pharmacy/ prescription links:
Abarca Member Portal
You can find information on drug-drug interactions, common side effects and significant risks in the Abarca Rx Member Portal.
Click the button below to access the portal. If this is your first time visiting the portal, you will need to "Register" first. When the User Screen appears Click the "Register" button at the bottom left side of the box. You will need to have the following information to Register to the site.
- First and Last Name
- Email Address
- Last 4 digits of your SSN (Optional For Minors)
- Enrollee ID
- Health Plan (CareFirst CHPDC)
- Birth Date
When you register, you will create a Username and Password. Remember to write down this information, so you can access the portal again.
The portal will display all of your current medications. Clicking on the medication will bring up an alert if there are any drug-drug interactions.
Exceptions to the Formulary:
If you and/or your provider believe that you need a medication not on the CareFirst CHPDC Formulary, please start the exception request process with the CareFirst CHPDC Clinical Pharmacist.
Community Health Plan
District of Columbia