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Pharmacy Benefit Management

Bringing members the most transparent, cost-effective pharmacy benefits with Capital Rx

Baylor Scott & White Health Plan is leveraging Capital Rx to redefine the way prescriptions are priced and administered in the U.S.

As Pharmacy Benefit Manager, our expert pharmacy team at Baylor Scott & White Health Plan brings more than 35 years of experience managing all health plans. As Pharmacy Benefit Administrator, Capital Rx utilizes technology to improve drug price visibility and patient outcomes. Together, we are reimagining the administration of pharmacy benefits and rebuilding trust in healthcare through:

  • Transparent pricing: We use Capital Rx's fully pass-through pricing model based on National Average Drug Acquisition Cost to ensure drug pricing remains transparent, stable and — most importantly — cost effective for our members.
  • Quick and easy customer service: We offer a single point of contact for members to address pharmacy-related issues, supported by a team of certified pharmacy technicians. We have a proven track record of resolving pharmacy related issues within 24-48 hours.
  • Convenient access to medications: We offer access to more than 65,000 retail pharmacies including national chains and many independent pharmacies. For members who prefer the convenience of home delivery, we offer mail order services through Costco Pharmacy. Costco also serves as one of two specialty pharmacies, along with BSW Specialty Pharmacy, providing specialty medications and condition-specific care management programs.

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Choose your plan type for information about covered medications, in-network pharmacies and more.

Medicare Members

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Frequently Asked Questions

Beginning Aug. 1, 2025, Capital Rx, our Pharmacy Benefits Administrator, is transferring your current mail order prescriptions to Costco Pharmacy.

No. You do NOT need a Costco membership to use the mail order prescription service.

For mail order prescriptions, you do need to set up an account with Costco Pharmacy.

You can set up a profile account by calling Costco Pharmacy or online:

  • Set up online: Go to pharmacy.costco.com and follow prompts for setting up a new patient account.
  • Set up by phone: Call and follow the prompts for medications delivered to your home.
  • Website: For prescription management needs you can go to pharmacy.costco.com. You can easily manage your benefit and access digital resources by logging into your Member Portal.
  • Phone: Call for assistance with your prescriptions, status and enrollment. When calling, follow the prompts for medications delivered to your home.
  • Mail: Go to pharmacy.costco.com and access your patient account. Select refill or new prescriptions and then follow the prompts to complete the request. Mail your paper prescription to:

    Costco Pharmacy
    260 Logistics Ave., Suite B
    Jeffersonville, IN 47130
  • E-prescribe: Have your prescriber electronically send your prescription to Costco Pharmacy mail order No. 1348, ZIP Code 47130.
  • Fax: Have your prescriber fax your prescription to 877.258.9584. Faxed prescriptions may only be sent by a doctor's office and must include patient information.
  • Costco Pharmacy Customer Support Hours of Operation: 7 AM to 9 PM CST weekdays and 11:30 AM to 4 PM CST Saturdays

Costco Pharmacy does offer members the ability to manage prescriptions online. To get set up, go to pharmacy.costco.com, click "Sign In/Register" and then "create account." Once your online account is created, you can use "log in" at any time to submit new prescriptions, refill prescriptions, track prescription status and transfer prescriptions. For extra support, visit Costco's New Patient Training for guided help with account setup and how to submit a new prescription. Refill requests follow the same steps as submitting a new prescription but start with the "refill prescription" tab.

Yes. Please inform your prescriber that your pharmacy has changed to Costco Pharmacy. Prescriptions can be submitted through one of the following options:

  • Mail: Go to pharmacy.costco.com and access your patient account. Select refill or new prescriptions. Follow the prompts to complete the request. Mail your paper prescription to:

    Costco Pharmacy
    260 Logistics Ave., Suite B
    Jeffersonville, IN 47130
  • E-prescribe: Have your prescriber electronically send your prescription to Costco Pharmacy mail order #1348, ZIP Code 47130.
  • Fax: Have your prescriber fax your prescription to 877.258.9584. Faxed prescriptions may only be sent by a doctor's office and must include patient information.

Please call Capital Rx and follow the prompts for medications delivered to your home. A representative will help to confirm all your prescriptions were transferred.

Yes. Prescriptions can be picked up at Costco or delivered via mail. If you want to pick up your prescription at your local Costco and aren't a member, simply tell the attendant at the entrance that you are there to pick up your prescription.

No. Any active prior authorizations will continue to apply.

If you have an online account with Costco Pharmacy and you have an email address on file, you will receive automated emails when prescriptions are processed and shipped. If you do not have an email address on file, you will receive an automated call when an order has shipped.

Yes. Costco Pharmacy offers an Auto Refill Reminder program.

To get set up with the Auto Refill Reminder program, log into your Costco Pharmacy online account and select your prescription profile. For each medication, you can click to turn on the Auto Refill Reminder. An email address is required to sign up for the Auto Refill Reminder program.

You may also call the pharmacy directly and ask them to turn on the Auto Refill Reminder for your selected medications.

You will not receive an automated call from the Costco Pharmacy Auto Refill Reminder program.

With the Auto Refill Reminder program, you will receive automated emails sent to your email address on file. You will have 72 hours to check the consent, "Yes, Refill Prescription" button to start the refill process. Once accepted, please allow up to 72 hours for Costco customer service to check on the status of prescription processing. If you do not respond with a consent via email within 72 hours, your auto refill prescription will be disenrolled from the Auto Refill Reminder program and will not ship.

  • New prescriptions: 7-14 days after Costco receives the prescription.
  • Controlled substances: 7-14 days after Costco receives the prescription and with valid government-issued ID confirmation.
  • Hazardous or regulated items: 7-14 days after Costco receives the prescription.
  • Special prescription deliveries: 7-14 days after Costco receives the prescription.

Standard shipping is offered at no cost. For expedited shipping, the following fees are applicable:

  • 3-Day expedited: $10.95
  • 2-Day expedited: $13.95

Note: Expedited shipping may not be available for some hazardous medications.

Costco Pharmacy uses UPS SurePost, UPS (Ground, 3-day, 2-day) and USPS.

Yes, if you have a Costco Pharmacy online account with an email address on file. If you do not have an email address on file, you can call Costco Pharmacy for a tracking number, after your prescription has shipped.

In an urgent situation, you can call Costco Pharmacy and review the options available to you.

  • If refills are available, we can transfer your prescription to a nearby in-network pharmacy for pickup.
  • If you have enough medication for a 1-week supply, you can pay for expedited shipping to ensure timely delivery.
  • If there are no refills available, Costco Pharmacy can contact your prescriber to request an urgent refill request. Once received, the above options can be used to receive your medication.

For times when Costco Pharmacy does not dispense a specific medication, please contact Capital Rx Customer Care by dialing:

A customer care agent will provide support with finding access to your medications.

If you have general questions about your pharmacy benefit, call the customer service number on the back of your ID card.

Beginning Aug. 1, 2025, Capital Rx, our Pharmacy Benefits Administrator, is transferring your current specialty prescriptions.

  • Medicare members: Your current specialty prescriptions will be transferred to Costco Specialty Pharmacy.
  • Non-Medicare members: If you take specialty drugs, you have two options for ordering prescriptions:
    • BSW Specialty Pharmacy - Any prescriptions you have with BSW Specialty Pharmacy will remain with BSW Specialty Pharmacy. No action is needed.
    • Costco Specialty Pharmacy - Any current specialty prescriptions you have with Optum Specialty Pharmacy will be transferred to Costco Pharmacy.

If your prescriptions are being transferred to a pharmacy outside of Costco, that pharmacy will be indicated in your letter. (See question regarding Limited Distribution Drugs below for more information.)

No. You do NOT need a Costco membership to use the specialty prescription service. You will need to set up an account with Costco Pharmacy. There is NO cost to set up this account.

Please reach out to your prescriber and update your specialty provider to Costco Specialty Pharmacy.

Have your prescriber e-prescribe to Costco Specialty Pharmacy No. 1710, ZIP Code 53717 or fax your prescription to 855.213.0125. Make sure your prescriber includes your contact information.

If prior authorization is required, your prescriber may need to take extra steps to submit your prescription. To review more information related to prior authorizations, log into MyBSWHealth.

A representative from Costco Specialty Pharmacy will call you to obtain more information and schedule your first delivery. Additionally, you may call Capital Rx to confirm receipt of the prescription from the prescriber. When calling, please follow the prompts for specialty pharmacy. Your prescription will arrive when and where you've requested.

  • Phone number: Call for assistance with your prescriptions, status and enrollment. When calling, follow the prompts for specialty pharmacy.
  • Website: Costco Specialty Pharmacy Portal
  • Costco Specialty Pharmacy Customer Support hours of operation:
    8 AM-7 PM CST Mondays-Thursdays and 8 AM-6PM CST Fridays. If you have an urgent request, support is available 24/7.

To manage your specialty medications, please register and log into the Costco Specialty Pharmacy Portal. You can also manage your prescriptions by calling Costco Specialty Pharmacy.

To fill a prescription or to order refills of your current medication, contact Costco Specialty Pharmacy by dialing the number for Capital Rx.

Costco can correspond with you and your physicians to set up your next refill, so you stay on track with your treatment plan.

Costco Specialty will correspond with you and your physicians. Patient care coordinators will call to set up your next refill, so you stay on track with your treatment plan. Costco's standard processing time ranges from 24 to 48 hours. This does not include delivery time. If you feel you are experiencing a delay, or to receive an update on your prescription status, please contact Capital Rx. Follow the prompts for specialty pharmacy.

Yes. Please call Capital Rx and follow the prompts for specialty pharmacy. A representative will help to confirm your prescriptions were transferred. This excludes expired prescriptions or those with zero refills remaining.

If your prescription has expired or has zero fills remaining, please contact your physician to obtain a new script and have it sent to Costco Specialty Pharmacy.

Specialty medications typically require special handling, storage and administration, which is why they can't be filled at most retail pharmacies, including Costco. Specialty pharmacies are equipped to manage these needs and provide important patient support services, such as coordinating refills, managing side effects and ensuring proper usage. Please contact Capital Rx. When dialing, follow the prompts for specialty pharmacy.

Limited Distribution Drugs (LDDs) are medications available only through a select number of specialty pharmacies, rather than being widely distributed through all specialty pharmacies.

Because of this, members currently utilizing LDD medications may have their prescriptions transferred from Optum Specialty Pharmacy to another participating pharmacy, other than Costco Specialty Pharmacy, that is able to dispense these medications.

Members will receive letters notifying them of this change, as well as information related to the pharmacy that will dispense their medications in the future.

No. Any active prior authorizations will continue to apply.

Costco Specialty provides a higher level of member service compared to a traditional retail pharmacy, including patient management programs that help to educate and manage your disease state. Clinical care with regular assessments managed by trained, licensed pharmacists is also provided to you. You will receive refill reminder calls that are not automated to keep you on track with your therapy.

Yes, you can request medication counseling at any time from Costco Specialty Pharmacy.

No, these are two separate pharmacies.

Shipping is provided to you at no cost.

The Costco Specialty member portal will show simple tracking updates like scheduled, out for delivery and delivered. You can use the tracking information provided to check for a more detailed status on the designated courier website.

Please contact Capital Rx Customer Care:

Follow the prompts for specialty medications. A customer care agent will provide support with finding access to your medications.

If you have general questions about your pharmacy benefit, call the customer service number on the back of your ID card.

Contact Us

 
  • Members
  • Employers/Benefit Administrators
  • Agents
  • Providers

Members

Call the Customer Service number on the back of your Baylor Scott & White Health Plan member ID card.

Employers/Benefit Administrators

Contact your Client Manager.

Agents

Email Agent Support or call 866.781.7008 and press 5.

Providers

Contact your Provider Relations Representative.

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