Pharmacy Information and Tools


HealthKeepers, Inc. administers its pharmacy benefit and establishes prior authorization requirements in accordance with all applicable state and federal laws and regulations. CarelonRx is the pharmacy benefits manager (PBM) for Anthem HealthKeepers Plus members in Virginia.

Cardinal Care and FAMIS formularies

The Anthem HealthKeepers Plus drug formularies contain a comprehensive list of drugs in commonly prescribed therapeutic categories, including preferred and non-preferred drugs, and drugs requiring prior authorization.

Cardinal Care Medicaid Searchable Formulary

FAMIS Formulary

Pharmacy prior authorizations

Some drugs or categories of drugs have a dedicated prior authorization form listed under the Pharmacy option on our Forms page. If no drug-specific form is available, please use the following general form.

Fax to:


Retail pharmacy

844-512-7020

Fax to:


Medical injectable

844-512-7022

Pharmacy contacts

Call Provider Services


Contact our pharmacy department for claims processing, prior authorization or formulary questions.

Anthem HealthKeepers Plus

800-901-0020

Call CarelonRx


Contact CarelonRx for assistance with pharmacy point-of-sale (POS) or pharmacy claim questions.

CarelonRx

833-253-4452

Related information

CarelonRx, Inc. is an independent company providing pharmacy benefit management services and some utilization review services on behalf of HealthKeepers, Inc.

Provider tools & resources

Interested in becoming a provider in our network?

We look forward to working with you to provide quality service for our members.