Judi Rx - Member Portal Guide with Costco

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Costco

Cap-Rx

Adaptiverx

Visit<https://app.cap-rx.com/login>. Log in to the member portal using your established email address and select **Next**.

Enter your password and select **Login**. Our app and member portal use the same account information, therefore any password changes on the portal will transfer to the app or vice versa.

Registration Steps

To create an account, select **Register Now**.

Fill in all required fields: First Name, Last Name, and Date of Birth Choose either your Social Security Number or your Member ID and enter the information in the space provided. Select **Validate**. **Please note:** Member ID is the preferred identifier for registration. Social Security Number can only be used if this information is provided to Capital Rx from your employer or eligibility provider.

Once on the Create Account screen; enter your email address and your preferred password. Your password must be 8 characters long and include a number, a special character, an upper-case letter, and a lowercase letter. Select **Create Account**. Check your email and locate the verification code sent from Judi Rx. Enter the code provided to validate your email address. You will receive a verification email once you have finalized the setup.

Forgot Password

If you forgot your password, select **Forgot password?**.

Enter your email address and your member ID. Select **Next Step**.

A secure link and code will be sent to your email address. Click the link in the email to reset your password and enter the code to confirm your account.

My Rx Dashboard

Once logged in, you will land on the Dashboard. On this page you can view your recent claims activity, at-a-glance plan contributions, search for drug costs and nearby pharmacies.

To access your digital pharmacy ID card select **View ID Card**.

On this page you have on-demand access to your pharmacy benefits prescription insurance card. You can print your ID card by selecting **Print Card**. If you need customer support, you can call Customer Care.

Registering with Costco Mail Order Pharmacy

Navigate to **rx.costco.com** and click on 'Sign In / Register'.

Select **Create Account**.

First, enter your email address click 'Send Code'. A code will be sent to the email address provided for verification purposes.

Enter the verification code sent to your email address. Click 'Verify' to proceed.

Next, you will be prompted to create a password for your account. Click 'Continue' to proceed. **Please note:** You can enter your Costco Membership Number on this screen to add to your Costco Mail Order Digital Profile. However, you do not need a Costco Membership to access and use Costco Pharmacy Services.

Next you will be prompted to enter your first name, last name, date of birth, and mobile number information to continue with your account profile creation. Click 'Continue' to proceed. **Please note:** You can add a prescription number at this time, but this is only optional and not required for account creation.

On the next step, you will be prompted to enter address and a few remaining details to complete your account creation. Click 'Continue' to proceed. **Please note:** You can select the prescription insurance checkbox if this applies. It is not required to complete your account creation. Once your account is created, you can add your insurance information using details from your insurance identification card.

Congratulations! Your account creation is now complete. Click 'Let's Go' to go to your account profile.

Now that your Costco Mail Order account is created - you can navigate through your profile to finalize your information. The left hand side of the account page is the navigation panel.

The address entered during account creation will be in your profile, but you can edit and add addresses as needed.

When time permits, please complete the health questionnaire to help with future pharmacy orders. **Please note:** This is a quick, two question step that asks about allergies to medications or if you have any health conditions.

While a payment method is not required to be on profile, it is an option to add a payment method for future prescription orders. Click 'Add a Card' to enter your payment information.

Enter your pharmacy insurance information to avoid confusion with future orders. Click 'Add Insurance'.

You can add your insurance information in two ways. Upload images of the front and back of your insurance identification card. Or click 'Manually Add Insurance Details' to enter the processing information.

Manage your profile preferences by clicking 'Edit Preferences' to make any adjustments.

View Costco Pharmacy's Terms of Service and Privacy Policy at any time.

To easily manage dependent or pet prescriptions, click 'Add a Person or Pet'.

Select from the options what person or pet you wish to add to your profile.

The prompts for each selection vary. To add an adult 18+ years or older may require them to approve you to have access to their information.

Navigating the Costco Mail Order Pharmacy Website

You can manage new prescriptions by selecting **+ Request a New Prescription** from the Other Services section.

Fill out the information to submit a new prescription request and select submit at the bottom of the page.

You can transfer a prescription from another pharmacy by selecting **Move a Prescription**.

Select whether you are moving your prescription from a different Costco or another pharmacy and complete the form.

If you have eligible refills for any of your prescriptions, they can be managed by selecting **Refill a Prescription**.

Your prescription list is on the home dashboard. Here you can see your active prescriptions and choose to hide any that are no longer relevant.

Select **Manage People and Pets** to add others from your insurance policy to your profile to manage their prescriptions.

Managing your Costco Specialty Pharmacy Prescriptions

To get started with Costco Specialty Pharmacy, have your healthcare provider e-prescribe to Costco Specialty Pharmacy #1710, Zip Code 53717, or fax your prescription to 1-855-213-0125. Make sure your healthcare provider includes your contact information. If a prior authorization is required, your healthcare provider may need to take extra steps to submit your prescription. To review more information related to prior authorizations, visit <https://mycapitalrx.judi.health/> or call your dedicated Capital Rx Customer Care phone number located on the back of your ID card or on the Dashboard of the member portal.

A representative from Costco Specialty Pharmacy will call you to obtain more information and schedule your first delivery. Additionally, you may call your dedicated Capital Rx Customer Care phone number to confirm receipt of the prescription from the healthcare provider. When calling, please follow the prompts for specialty pharmacy.

Find Best Price

To find the best price for a drug, select Care Search at the top of the screen, or select **Find Best Price**.

From the drop down, click **Find Best Price**.

Here you can enter the name of the drug you want to search for. When you begin typing, drugs that match the text will populate. Select the drug you are searching for.

A new screen will appear for the drug searched for. Here you can edit details including Type, Form, Dosage, Quantity, and Days Supply by selecting the corresponding drop down to change the options. Enter the zip code of the location you wish to search and select **Find Best Price**.

Any notifications for the searched drug will appear. Click **Continue to Pricing**.

Here you will see all pharmacy locations based on the zip code entered that carry the drug, including mail order options. You can compare the member's responsibility to pay at each location. This page also shows a map that pinpoints the location of each pharmacy listed. Select any pharmacy option to bring up more details.

Under Payment Summary this shows the expected amount that the member will pay and what the plan would pay. Prescription details shows the drug name, type, quantity, days supply, dosage, and form that were input into the tool. Pharmacy Details outlines the pharmacy address, phone number, and hours. This section also shows a detailed map with a pinpoint showing where the chosen pharmacy is located.

Plan Contributions

To view all Plan Contributions, select the **Claims & Coverage** drop down at the top of the screen, or select **View All** from the at-a-glance Plan Contributions on the Dashboard.

Click **Plan Contributions**.

Here you will see all applicable plan contributions for your coverage.

Claims History

To view a list of claims history, select the **Claims & Coverage** tab at the top of the screen.

Select **Claim History**.

Once on the Claims History page you can choose to show claims for different individuals on your plan if applicable. Claims for dependents 17 years old and under are also made available on this page.

You may search claims by date, pharmacy name, or drug name. Some claims may outline special notices like Savings Opportunity.

A specific claim may be selected to view the claim’s information. Select **View Details**.

Claim details include the Prescription Details, Pharmacy Details, and Payment Summary.

You can select **Lookup Current Price** to view the price lookup details of this drug. This will take you to the Find Best Price page for this drug.

Back at the Claims History page, you can also choose to generate a PDF of all the claims listed by selecting **Generate PDF**.

You can choose which claims to include by selecting to generate history for current year to date, previous year, or previous month. Click **Generate**.

A new tab will pop up with the generated PDF claims listing.

Prior Authorization

If applicable, you can view any Prior Authorizations for your prescriptions by selecting the **Claims & Coverage** drop down at the top of the screen. Or from the dashboard, you can select the prior authorization from the Recent Activity section by clicking **View Case**.

From the drop down, click **Prior Authorization**.

Click **View Details** on the prescription you wish to view.

At the top of this screen you will see the current status of your prior authorization. Possible statuses include: - In progress - Your prior authorization has been received and is currently being processed. - Approved - Denied - Closed - There was not enough information provided to make a decision on your prior authorization. - Awaiting Prescriber Response

Submit a Reimbursement Claim - Upload a Claim Form

To submit an electronic reimbursement claim, click **Claims & Coverage**. Then select **Submit a Reimbursement Claim**.

Select who the claim is for and what type of claim it is. There are two ways to submit a reimbursement claim: - Upload a Claim Form - Fill Out Claim Details

If you choose to upload a claim form, follow the instructions to ensure you have downloaded the form and filled it out.

Upload the Prescription Drug Claim Form under Upload Documentation.

Upload other applicable documentation under the Evidence for Claim section.

Fill out the Contact Information section and ensure that you select the box in the Acknowledge section.

Click **Submit**.

Confirm your submission by selecting **Submit**.

Once processed, a confirmation page will appear with a confirmation number.

Submit a Reimbursement Claim - Fill Out Claim Details

To submit an electronic reimbursement claim, click **Claims & Coverage**. Then select **Submit a Reimbursement Claim**.

Select who the claim is for and what type of claim it is. There are two ways to submit a reimbursement claim: - Upload a Claim Form - Fill Out Claim Details

If you choose to fill out claim details, select the reason for submitting this claim for reimbursement.

Provide the pharmacy/supplier information.

Provide the prescriber information.

Provide the prescription/vaccine/equipment purchase information.

Upload applicable documentation under the Evidence for Claim section.

Fill out the Contact Information section and ensure that you select the box in the Acknowledge section.

Click **Submit**.

Confirm your submission by selecting **Submit**.

Once processed, a confirmation page will appear with a confirmation number.

Inbox

Select **View Inbox** to view messages.

Your inbox is where all messages will be located. You can select a specific message by clicking **View**.

Once you view the message, you can choose to delete it.

Nearby Pharmacies

To locate an in-network pharmacy near you, you can select the **Care Search** drop down at the top of the screen. Or located on the dashboard, you can start to find a nearby pharmacy by searching a city or zipcode.

From the drop down, click **Nearby Pharmacies**.

Enter the city or zipcode and select **Search Pharmacies**.

This new screen will show a list of all local pharmacies and a map showing their locations. Select **View** to bring up more details about a pharmacy.

By selecting a pharmacy, a new page will display showing you the pharmacy details and where this specific pharmacy is located on the map.

Forms and Documents

You can view any forms or documents by selecting the person icon at the top right of the screen or by clicking **View Documents**.

Click **Forms and Documents** from the drop down.

Here you can toggle between Member Documents and Plan Documents. Plan Documents refer to any form or document your plan would like you to have access to. Member Documents are all your documents that have been specifically mailed to you.

Select **Download** to download the electronic document or form. This will download to your computer or phone.

Lookup Formulary

To view your plan's formulary list, select **Care Search**, or you can select **View Formulary**.

From the drop down, click **View Formulary**.

This will bring up a new window where you can search for a specific drug.

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You can search by Drug Name or Therapeutic Class. A legend will pop up from the bottom to show you what the icons by the drugs mean.

Please note: Some drugs on this list that display as covered on the formulary, may not be covered if your plan does not include coverage of certain categories. If you have any questions regarding your specific coverage, please call the number on the back of your member ID card.

Preferences

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To manage your preferences, select the person icon at the top right hand of the screen.

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Click **Preferences**.

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Under the Notifications tab, you can manage what notifications you'd like to receive. You can turn on or off email notifications or push notifications by selecting the checkbox. Ensure you have selected **Save** when any changes have been made.

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Under the Language tab, you can select your preferred language to be displayed every time you log in.

Sign Out

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To sign out, select the person icon at the top right hand of the screen.

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Click **Sign Out**.

To deactivate an account, you must call Capital Rx’s Customer Care and one of our agents will be happy to assist.

Judi Rx - Member Portal Guide with Costco

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