In the Spotlight
90 Day Supply Options
Choice90 - external link, click on Choice90 graphic
MedImpact Direct Mail Order - external link
Pharmacy Benefit Manager Portal
MedImpact administers the prescription drug benefits for members.
For questions regarding your prescription drug benefits, please conact MedImpact toll-free at
Prescription Reimbursement Forms
For members to request reimbursement when they have paid for a prescription (where it wasn’t put through their insurance):
Pharmacy Reimbursement Claim Form
Medication Request Forms
Our pharmacy benefit manager, MedImpact Healthcare Systems, handles our prior authorizations. To request prior authorization, pre-approval of a medication with coverage rules or coverage of a Non-Formulary medication, your physician or prescribing practitioner can use the Standard Medication Request Form . Forms can be faxed to MedImpact at: 858-790-7100.
Standard Medication Request Form
Prior Authorizations or Step Therapy Requirements
|Information about Generic Drugs from the Food and Drug Administration|
*The above consumer links are posted as a resource for our members in making wise prescription drug choices. The web sites are not affiliated with FirstCarolinaCare Insurance Company.
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