Prescriptions & Pharmacy.
Everything you need to manage your prescriptions in one place. Log in to your pharmacy benefit manager, find a network pharmacy, check the formulary, or price a medication before you fill.
Pharmacy partner login.
Your prescriptions are processed by the pharmacy benefit manager assigned to your plan. CGS Health's own benefit runs through CAPSL Rx — if your plan uses a different PBM, find it in the directory below. Not sure which is yours? It's printed on your member ID card.
CAPSL member portal
Refills, mail order, formulary, and digital ID cards — the pharmacy benefit manager for CGS Health plans.
Our other partners
If your pharmacy benefits plan is administered through one of these partners, log in directly to manage your prescriptions.
What do you need to do?
Find a network pharmacy
Locate an in-network retail pharmacy near you, or set up home delivery through mail order.
Check the formulary
See whether your medication is covered and which tier it falls under, plus any covered alternatives.
Price a prescription
Compare your cost across pharmacies and see mail-order savings before you fill.
Prior authorization
Some medications need approval first. Your Navigator can start and track the request for you.
Filling a prescription.
Show your ID
Present your CGS Health / CAPSL Rx member ID at the pharmacy or enter it in the portal. Don't have it? Download a copy from your member portal.
Fill or refill
Fill at any in-network retail pharmacy, or move maintenance medications to mail order for 90-day supplies and lower cost.
Pay your share
You pay the copay or coinsurance for your medication's tier. Pricing is transparent — check it in advance any time.
Your Navigator handles the pharmacy maze.
From prior authorizations to finding a lower-cost alternative, your dedicated CGS Health Navigator can sort out prescription questions for you. Call (833) 807-2409 or open the concierge.
