IMPORTANT MEMBER UPDATE:
The state government office that oversees QUEST Integration announced important changes to its Medicaid eligibility review process.
Terminations (ending your Medicaid coverage) have been paused through the end of 2023 EXCEPT for those who voluntarily ask the Med-QUEST office to end their coverage, move out of state or pass away.
There may be special exceptions for Maui residents who have moved out of state, and we will update this alert accordingly.
Make sure AlohaCare has your current address/phone number. Call us at 1-877-973-0712 if you have any questions.

Formulary

 

AlohaCare Advantage Plus (SNP) Formulary

Pharmacy Clinical Programs and Services

Pharmacy Network

To find out if a pharmacy works with AlohaCare, use our online Provider Finder or download the Provider Directory found on the Member Documents page.

 

Pharmacy Billing Information

 

General Resources & Contact Information

Pharmacy benefit (pharmacy  dispensed drugs) prior authorization requests & status inquiries

CarelonRx Pharmacy Services (Prescribers Only)

  • Phone: 1-833-414-2228
  • Fax: 1-844-521-6938
  • Hours: 24 hours, 7 days a week 
Claims processing or overrides

CarelonRx Medicaid Pharmacy Help Desk (Pharmacies Only)

  • Phone Number: 1-833-409-1225
  • Hours: 24 hours, 7 days a week 
Medical benefit (physician administered drugs) prior authorization request & status inquiries 

  AlohaCare Provider Customer Service