Members of Health First Colorado (Colorado's Medicaid program) have the option to get their outpatient medications through mail delivery. New or refill prescriptions for chronic conditions may be written for as much as a 100-day supply.
Pharmacies enrolled as a mail order pharmacy specialty type 460 may only bill for outpatient maintenance medications for chronic conditions. Pharmacies enrolled specifically as Mail Order will receive denials for non-maintenance medications.
*Local and out-of-state retail pharmacies other than mail order pharmacies may provide mail delivery prescriptions for Medicaid members if they are enrolled with the Health First Colorado program and are registered and in good standing with the State Board of Pharmacy. However, delivery and mail order are completely optional services for providers; if a pharmacy doesn’t offer mail delivery, members may use the Find a Doctor tool to find a pharmacy that does.
Please note that Health First Colorado does not pay for nor reimburse pharmacies for delivery fees.
If you have further questions, please contact the Pharmacy Liaison at 303-866-3588.