Member Forms
Authorization to Release Information
Medical Claim Form
Dental Claim Form
Autism Spectrum Treatment Form
Web Portal Guide
Web Portal Flyer
Caremark Participating Pharmacy List
Caremark Performance Drug List
Caremark Advanced Control Formulary (Fully-Insured)
Caremark Prescription Drug Mail Order Form
Caremark Prescription Member Claims Form - English
Balance Billing Protection Notice - Self Funded
Balance Billing Protection Notice - Fully Insured