You or your provider may make a request to cover a drug that isn’t in the HMSA QUEST Integration drug formulary.
To Make A Request
Print out the form and take it to your provider to complete. After we have the completed request form, we’ll give you an answer within:
- 72 hours, or
- 24 hours, if your medical condition requires a decision sooner.
Ask your provider to make the request by phone, fax, or mail.
Phone: 1 (855) 220-5732 toll-free.
Fax: 1 (855) 762-5206 toll-free.
P.O. Box 30980
Honolulu HI 96820-9930
Attn: PA department
If you have questions about the process or want to know the status of a request, contact CVS/caremark. CVS/caremark is HMSA’s pharmacy benefits manager. Call 1 (855) 220-5732 toll-free, 24 hours a day, seven days a week. TTY users, please call 1 (800) 863-5488 toll-free.CVS/caremark provides pharmacy benefit management services and manages HMSA’s drug formulary for HMSA’s commercial, Medicare, and HMSA QUEST Integration plans. CVS/caremark is an independent company.