Carelonrx Reviews 

My company switched from XpressScripts (they were great) to CarelonRx - omg how miserable this has been - so I switched to a local pharmacy (Walmart).

Issue 1: When my company switched to CarelonRX I told my doctor to move my medications, so she moved all of them, even old ones. CarelonRx decided to ship all of them to me without my permission or request. Then charged me for one of the medications I hadn't taken in years. I protested that I wasn't going to pay for their mistake, something I didn't order. Their response was the finger - and to hold my medications hostage until I paid. I tried appealing the decision, and even tried using an Advocate - nope - "pay for our mistake."

Issue 2: I logged into CarelonRx and shut off all auto-refills; keep in mind, I had never turned them on - they did. I switched to the Walmart pharmacy locally and my doctor decided to switch medications, so no longer taking 'x' and started taking 'y'. Two months go by and I've been taking 'y' and picking up the meds from Walmart, but - out of no where - these morons send me medication 'x'! So now I can't get medication 'y' because the insurance is like "Oh, we already sent you some so you have to wait until you're refill eligible." FFFS, seriously.

I had a terrible experience with CarelonRx (Tucson, AZ location) and would not recommend this pharmacy.

The medication I was prescribed cost $75.76 through CarelonRx, yet I was able to purchase the exact same medication, same dosage, for just $20 cash at another pharmacy. That's nearly 4 times the price!

When I discovered the price difference, I immediately contacted the prescribing service and had my prescriptions rerouted to another pharmacy. I was told the rerouting had been completed, and the other pharmacy confirmed receipt of my prescriptions.

Despite this, CarelonRx shipped the medication to my home anyway and billed me $75.76. When I contacted them, I was told that they have a policy of automatically shipping prescriptions under $100 without requiring patient authorization or payment.

Even worse, they refused to accept the return, despite the medication being completely unopened.

How is this acceptable? They charge significantly more than other pharmacies, don't give customers the opportunity to decline an overpriced prescription, ship medication even after it's been rerouted, and then refuse to take it back.

I initially chose CarelonRx because my insurance recommended them as a way to save money. Instead, it cost me considerably more and resulted in an incredibly frustrating experience.

Save yourself the hassle and shop around. I would not recommend this overpriced online pharmacy. I will never use this pharmacy again.

This is Anthem Blue Cross's in-house mail order pharmacy, and their prices are decent. Their service is the worst possible.
The representatives are offshore and lack understanding of English language. They simply read from a script, and have no knowledge or authority to help if it's not in the script. They keep pushing you to hang up a call and use their app, but when that doesn't work the representatives can't or won't help resolve things. The information contained in their app and website doesn't translate to actual orders or shipments, and they won't let me as the insured update our information - they literally require my family and kids to be on a phone call with them, during business hours when they're at work and school, to provide an address and credit card each time they need something.
When I called to inquire about prices for prescriptions I might transfer, they then used their information from Anthem to contact my Dr's office and have all my Rx's transferred to them, then billed all of them without my approval, and sent a bill after the fact for RX's I never asked for. When I explained they hadn't been authorized and I wouldn't pay for something I didn't order, they then started sending collections notices for bills I'd never approved.
I insure our entire family, but they refuse to use one credit card to pay for all our family's prescriptions, or to let me pay for their prescriptions - they literally require each of my family members to call individually each month to provide a distinct credit card for each of their medications - even my 10 year old has to be on the phone and read off a credit card number in order to pay for his medication.
They are about as apathetic and uncaring as possible.

Most pathetic pharmacy with the most incompetent representatives like here was transferred to this pharmacy through insurance. After spending over an hour repeating my insurance information to the first representative, spelling it out, providing words for each letter of the alphabet repeatedly. I'll need to get a call the next day that they still didn't have it right when they called to try to get it right again. I didn't have my insurance card on me. Had to return the call a few minutes later and speak with a different person who then insisted I was not with their pharmacy and I was with another pharmacy and in fact I had already been discharged from that pharmacy and no matter how much I explained to this representative that they had literally just called me because they still didn't have my insurance right. He would not let me speak to a supervisor or any other representative when I knew that the other representative clearly had intended on submitting for authorization but was too stupid to be able to get the insurance numbers correct despite multiple explanations and provisions ended up hanging up on them because they would not let me speak to anybody else and the second representative believed that I was with a different pharmacy when that was the pharmacy I was already discharged from, clearly can't communicate within their own departments, let alone with a patient and now my doctor's office has washed their hands with them as well and I'm starting over all over again and medicine that is necessary for me to live. I spent over 7 hours total. Just trying to speak with someone to give them my insurance information and to clarify the issue of whether or not they were supposed to be serving me and they never were able to get to the bottom of it because they refused to let me speak to another representative or a manager go somewhere else. This place is the worst nightmare and I have many chronic conditions that have dealt with many specialty pharmacies. This is by far been the most ridiculous in inept organization

I cannot thank Martha Samayoa enough for her incredible help with our employee benefits and member support. Right before my health insurance coverage ended, she went completely above and beyond to make sure my son Nathaniel’s medication was completely approved and fully covered. Navigating insurance changes while starting a new job can be so stressful, but Martha’s kindness, dedication, and amazing communication made all the difference. She is an absolute asset to the team, and I am so grateful for her help!

I was rejected for a claim I made about reimbursement for diabetes supplies. The rejection reason was that it was non-formulary, which was actually the whole reason I had sent the reimbursement claim in the first place. I was unaware that I needed a Prior Authorization for the medication and was not told so by CVS, my doctor, or Carelon Rx/Anthem Blue Cross. I was actually told by CVS that it was in fact covered by my insurance, despite the high price. I had been overpaying for the medication from Dec 2025, until July 2026, when I was finally alerted by CVS that insurance in fact wasn't covering it, and that I needed the PA. On a phone call with Carelon Rx I was initially told that the Prior Authorization was only retroactive for 1 month, but upon me explaining what happened I believe the person on the phone talked to someone higher up and that was extended so that I could send in my reimbursement claim, covering all the way back to Dec 2025. I provided all my details, dates, and prices, in that phone call for my file and was told a form would be sent to me, to fill it out, and send it in. After going through a complex process to fill out all the paperwork, with necessary signatures and information from CVS, I sent it in. It was then rejected due to the fact that it was non-formulary (needed a Prior Authorization) which had been the entire reason I had sent it in in the first place. On a second phone call with Carelon Rx, I was told it was only a month previous from the Prior Authorization that would be covered, which was not what I was told in my first phone call. I would not have then gone through all that had it in fact only been a month. I was explicitly told in my first phone call with Carelon Rx that the timeframe went back farther than one month and that I could send in a reimbursement claim. Overall, it's a few hundred dollars that could not be paid despite the fact that that feels to me like that is the right thing to do. If I was completely unaware I needed a PA, or was being given incorrect info by the pharmacy, it seems like I should be able then to have insurance cover something retroactively that it should've been covering in the first place. There's saving a few hundred dollars for a company and then there's doing what's right. It feels like they made the incorrect choice here.

Terrible, terrible, terrible. Called Carelon to transfer two prescriptions, but they said they don't do that. They require a prescription from a doctor's office. This is ludicrious. It is a standard industry practice to transfer prescriptions between pharmacies.

Now I am getting calls from Carelon that they can't reach my doctor for new prescriptions, and they are asking me to call my doctor. I secured a prescription when I saw my doctor a few months ago. Now I am going to have to pay more money to continue filling the prescription through the current pharmacy.

My doctor prescribe medications for chronic migraines and severe obstructive sleep apnea. Despite adequate clinical documentation supporting the medical necessity for these drugs, including inability to take step therapy drugs due to cardiovascular disease every prior authorization and appeal has been denied leaving me with nothing to take to treat my obstructive sleep apnea and chronic migraine pain. I live with almost every single day. This is the worst experience I’ve ever had with health insurance or their selected Pharmacy provider. I’ve worked in Healthcare for 35 years and never experienced anything like this. It is absolutely inhumane negligent and criminal in my opinion leaving people with no viable options who are in pain or ill to save a dollar. Shame. I cannot wait for open enrollment. I will never be a member of BCBS CARELON RX AGAIN. Shame on this company for what you put your members through.

This is the online pharmacy via the Anthem BCBS website. The experience ordering through them has been a total nightmare.

I have had 9 seperate chat conversations with them and have been without three critical medications for close to a month now. They have failed on multiple occassions to reach out to my doctor to confirm prescrpitions and simply cancel them, starting the process over.

Chat agents end chats once they have determined they cannot help you and you are forced to start all over again.

DO NOT USE.

We tried Carelon, for a year. It's extremely difficult, frustrating, time consuming and, perhaps, actually impossible to contact a human representative, in order to confirm a very small claimed ($12) balance and pay them.

They are great at sending robotic emails, but unacceptably lousy at offering a viable path to a human customer service rep. Their operation apparently works for some folks, but in my experience, I've not dealt with any pharmacy, for myself or family members, which approaches the hassle of this Anthem entity.

I suggest doing your homework, very carefully, prior to trusting them with your maintenance prescription meds. In my experience, it's not hard to discover better options.

I would strongly advise anyone to stay away from Carelon Pharmacy.

This is now the second time they have delayed my medication, and it is completely unacceptable. The first incident involved my asthma medication, which was delayed without clear communication. This time, they lost my prescription in shipping and cannot even locate it.

What is most concerning is that they refused to cancel the order, preventing me from having the prescription sent to another pharmacy. This left me stuck without access to necessary medication while they offered no real solution.

Their system is clearly dysfunctional, and the lack of urgency or accountability is alarming. When it comes to medications—especially those that can directly impact a patient’s health—delays like this are not just inconvenient, they are dangerous.

It genuinely feels like cost and internal process matter more to them than patient safety.

If you rely on timely medication, I would strongly recommend choosing a pharmacy that prioritizes patient care and has reliable systems in place.

This place is the worst. I have to use them because of my ins. If you enjoy spending hours on the phone only to find out it was in vane and now you have to start over, you will love this place. You get to to talk to many people as they will transfer you 4 or 5 times and every time you have to give all your security info before you start over again and again and again.

Wanted to get started with Carolon Rx to perhaps save some money.
My experience has been PAINFUL,
They keep transferring me and just don't know which way is up..
I am going back to my local pharmacy and paying more,I don't care
AVOID CAROLAN RX YOU WILL BE SORRY

I ordered refills on Nov. 12th. Unfortunately, the post office messed up and sent two of them back. When I got the notice that they'd been returned, Nov. 25th, I called Carelon and was told I'd get the new refills in 5-7 business days. On the 7th day, Dec. 8th, I called to check on them and was told that they hadn't started processing them. I'm leaving on Saturday to spend three weeks at my brother's for the holidays and really need my prescriptions, so the rep told me she'd put a priority on the order, but couldn't guarantee they'd be here by Saturday. So I asked if she could send them to my brother's instead, and she said yes. They showed up at my place today. Thank heaven I haven't left yet, or I'd be in trouble. Giving one star for the prices (cheaper for me than CostPlus) and one star because they actually did rush them this time.

I would give them negative 100 if I could- THEY ARE THAT BAD!!! I am forced to use them for my spcialty meds due to my insurance. They have always been horrid, but are now DENYING ME MEDS FOR A MEDICAL CONDITION!!! They REFUSE to tell me what I can tell my dr to perscribe after THEY CHOSE to discontinue my current meds at end of 2025. They WILL NOT tell me what is covered next year and say i have to talk to insurance company; insurance company says Carelox writes the formulary and therefore insurance won't talk to me! Carelon REFUSES to call dr for script for meds that could be covered in 2026. THEY REFUSE to answer questions, hang up on me, send me in circles, tell me things have been done when they haven't, blame my doctor and then tell me to do things that my dr and i have alrady done! COMPLETELY INCOMPETENT!! THIS INCLUDES THE SUPERVISORS AND CASE MANAGERS WHO NEVER CALL YOU BACK! THEY ARE NOW PLAYING WITH MY LIFE AND I WILL SEND MY ER AND HOSPITAL BILLS TO THEM SINCE THEY HAVE NO COMPASSION AND JUST CARE ABOUT MONEY!! THEY ARE NOT INTERESTED IN HELPING PEOPLE- ONY INTERESTED IN TREATING YOU LIKE TRASH!!!