Who we are
Who we serve
Welcome Providers!
Thank you for the work you do to support the health of our members. 
This page is to provide you with information that you’ll need relating to the pharmacy benefits of our members. If you need additional assistance please contact us.
Doctor with clipboard
Helpful Pharmacist
Provider Support:
Our provider support hotline is available to you 24 hours a day, 7 days a week, 365 days a year. 
Welcome Providers!
Thank you for the work you do to support the health of our members. 
This page is to provide you with information that you’ll need relating to the pharmacy benefits of our members. If you need additional assistance please contact us.
Doctor with clipboard
Helpful Pharmacist
Provider Support:
Our provider support hotline is available to you 24 hours a day, 7 days a week, 365 days a year. 
Welcome Providers!
Thank you for the work you do to support the health of our members. 
This page is to provide you with information that you’ll need relating to the pharmacy benefits of our members. If you need additional assistance please contact us.
Doctor with clipboard
Helpful Pharmacist
Provider Support:
Our provider support hotline is available to you 24 hours a day, 7 days a week, 365 days a year. 
Provider Resources
2024 Formulary
This formulary is the list of drugs that are included in your prescription plan. Please keep in mind coverage can vary by plan.
download formulary
Prior Authorization
Use this form to begin a Prior Authorization request. If you have questions please call our customer service hotline.
download form