FHCP Medicare Pharmacy Network & Mail Order

FHCP Medicare Pharmacy Network & Mail Order 2025

Network Pharmacies

FHCP Medicare Pharmacy network consists of:

• Preferred Retail Pharmacies - A network pharmacy that offers covered drugs to members of our plan at lower cost-sharing levels than at a network standard retail pharmacy
• Standard Retail Pharmacies - A network pharmacy that offers covered drugs to members of our plan at higher cost-sharing levels than at a network preferred retail pharmacy
• Mail Order pharmacy
• Home Infusion pharmacies
• Long-term Care pharmacies

Mail Order

To get information about filling your prescriptions by mail, call FHCP’s Mail Order Pharmacy at

• 1-386-676-7126 or 1-800-232-0216

Hours of operation: 8:30 a.m. - 5:30 p.m. local time, Monday through Friday

• Hearing Impaired: 1-800-955-8770

Please note: You must use FHCP’s Mail Order Pharmacy. Prescription drugs that you get through any other mail order pharmacy will not be covered.

Using a pharmacy that’s not in our plan’s network?

Generally, we cover drugs filled at an out-of-network pharmacy only when you aren’t able to use a network pharmacy. We also have network pharmacies outside of our service area where you can get your prescriptions filled as a member of our plan. Check first with Member Services to see if there is a network pharmacy nearby.

We cover prescriptions filled at an out-of-network pharmacy only in these circumstances.

• If you’re traveling within the United States and its territories and become ill, lose or run out of your prescription drugs, we’ll cover prescriptions that are filled at an out-of-network pharmacy. Coverage in this situation will be for a temporary 31-day supply of medication, or less if your prescription is for fewer days.
• We’ll cover prescriptions that are filled at an out-of-network pharmacy if the prescriptions are related to care for a medical emergency or urgent care.
• We’ll cover prescriptions at an out-of-network pharmacy if at least one of the following applies:
  • If you’re unable to obtain a covered drug in a timely manner within our service area because there is no network pharmacy within a reasonable driving distance that provides 24-hour service.
  • If you’re trying to fill a prescription drug that is not regularly stocked at an accessible network retail or mail-order pharmacy (including high-cost and unique drugs).
  • If you’re getting a vaccine that’s medically necessary but not covered by Medicare Part B.

Please Note: If you purchase a drug at an out-of-network pharmacy, and one of the situations explained above applies to you, you may be reimbursed at our plan’s standard in-network pharmacy rate, not the full price that you paid for the drug. Additionally, the difference in the plan’s reimbursement amount and the total amount you paid for the drug will be included in your total out-of-pocket costs.

How do you ask for reimbursement from the plan?

If you must use an out-of-network pharmacy, you will generally have to pay the full cost (rather than your normal cost-share) at the time you fill your prescription. You can ask us to reimburse you for our share of the cost by submitting a claim form.

Optum Rx Claims Department
P.O. Box 650287
Dallas, TX 75265-0287

You can download a copy of the Pharmacy claim form or call Member Services and ask for the form.

FHCP Medicare’s pharmacy network includes limited lower-cost, preferred pharmacies in Brevard, Flagler, Seminole, St. Johns and Volusia counties, Florida. The lower costs advertised in our plan materials for these pharmacies may not be available at the pharmacy you use. For up-to-date information about our network pharmacies, including whether there are any lower-cost preferred pharmacies in your area, please call 1-833-866-6559 (TTY user call 1-800-955-8770) or consult the online pharmacy directory at www.fhcpmedicare.com.