CarolinaCARE is the prescription mail service and specialty medication pharmacy for the LiveWELL Health Plans. LiveWELL Health Plan members access CarolinaCARE for Affordable Care Act (ACA) medications, preventive medications, maintenance and specialty medications.
Atrium Health Retail Pharmacies: A group of retail pharmacies owned by Atrium Health that can save money and time when you have prescriptions to fill.
Retail Pharmacy: Any pharmacy outside of CarolinaCARE, including Atrium Health-owned retail pharmacies.
*Some prescription medications have a copay.
It Is recommended you evaluate your current medications and possible need for future medications and review the formulary to determine cost/tier at CarolinaCareRx.org > Get My Rx Price. If you have a chronic medical condition or take at least one medication on a daily basis, you can make an appointment and review your medication history with a pharmacist at One-on-One Rx. Visit CarolinaCareRx.org.
Tips for each time you get a new prescription:
The mail service pharmacy reduces your out-of-pocket expenses and the time you spend ordering and picking up prescriptions by allowing you to receive up to a 90-day supply of your medication. All prescription mail delivery services are administered by CarolinaCARE.
CarolinaCARE now offers two convenient prescription refill programs. You can sign-up to enroll in either one:
To enroll, please log in to the CarolinaCARE website, read and accept the Terms and Conditions for your preferred refill program.
Please do not select Specialty medication for automatic refills if your specialty drug is managed by Atrium Health Specialty Pharmacy Services. The specialty team will continue to contact you each month about refills for these specific medications.
Learn more about CarolinaCARE’s services, the prescription benefit and factors to consider when enrolling in a health plan as it pertains to prescription coverage. Access the following episodes:
Effective January 1, 2024, payroll deduction will no longer be a payment option for prescriptions filled through the CarolinaCARE mail delivery program.
Here is what you need to know in order to be ready for the change on January 1, 2024.
Why is payroll deduction going away?
CarolinaCARE is growing and implementing best in class software to serve teammates and health plan members most effectively. In 2024, the new platform will no longer have a payroll deduction option.
What other options can I use to pay for my prescription orders at CarolinaCARE?
As of January 1, 2024, you can pay for prescription orders using your Health Savings Account (HSA) card, Flexible Spending Account (FSA) card, credit and debit cards such as Visa, Mastercard, American Express and Discover.
Is there an advantage to using my HSA or FSA card instead of a regular credit or debit card?
Yes. Teammates can use their HSA or FSA cards for a tax-free way to pay for prescriptions and other qualified medical expenses.
I currently use payroll deduction as a back-up to my HSA or FSA card whenever all my funds are spent. What will happen when payroll deduction goes away?
Again, when payroll deduction is no longer available as of January 1, 2024, you will be able to use your HSA or FSA account cards, credit and debit cards to pay for prescription orders.
What steps can I take to plan for paying for prescriptions?
It is important to review the cost of all medications and medical supplies that you and your family currently use. Try to anticipate any other prescription needs you may have in 2024 (to include over-the-counter medications like vitamins, cough and cold products, and allergy relief). The CarolinaCARE prescription price estimator may be a helpful tool to guide you in adding up the expenses. This way, you can make a better estimate of the amount that you will need to contribute to your HSA or FSA account to cover costs for the entire year.
You may want to make an online appointment and speak with a pharmacist at One-on-One Rx about your medicine costs. Visit www.CarolinaCARERx.org for more information about how to schedule an appointment.
When a physician prescribes a medication to treat a short-term illness, you can get it filled at any pharmacy in the OptumRx network, but using an Atrium Health pharmacy will provide the most savings.
Atrium Health has its own group of retail pharmacies, saving you money and time when you have prescriptions to fill. You will pay reduced copays when you use one of the following Atrium Health Pharmacy locations:
