Effective April 1, 2009, qualifying Medicaid fee-for-service clients may receive their outpatient maintenance medications from mail order pharmacies.

In order to qualify, a Medicaid client must have:

1. A physical hardship that prohibits him or her from obtaining their maintenance medications from a local pharmacy; or
2. Third party insurance that requires the use of a mail order pharmacy to obtain their maintenance medications.

A client, or the client's physician, must complete and submit an enrollment form to the Department that attests the client meets the one of the qualifying criteria.

Local pharmacies, which are not mail order pharmacies, may continue to occasionally mail any type of outpatient medication to any fee-for-service Medicaid clients without the need for clients to enroll for the mail order pharmacy benefit.

Please mail or fax the completed enrollment application to:

Colorado Department of Health Care Policy and Financing

Pharmacy Benefits Section

1570 Grant Street

Denver, CO 80203-1818

Fax:  303-866-3552

If you have any questions, please contact Tom Leahey at thomas.leahey@state.co.us