We will administer pharmacy benefits for enrolled members. IngenioRX is the pharmacy benefits manager.
Please refer to the Preferred Drug List (PDL) when prescribing for our members. This guide does not contain a complete list of drugs; rather, it lists the preferred drugs within the most commonly prescribed therapeutic categories.
Though most medications on the PDL are covered without prior authorization, a few agents will require you to contact our Pharmacy Department for authorization.
Please refer to the Pharmacy tab listed under Resources for more information regarding upcoming PDL changes.
Drug Lookup Tool
To use the drug lookup tool, select here > Tools > Drug Lookup
To request or check the status of a prior authorization request or decision, please log in to the Availity Portal.
Don't have an Availity account? Register for free now!
Need help with Availity? Learn more.
Call — 1-844-462-0022
Hours — 8 a.m.-8 p.m. (Eastern time) Monday-Friday
10 a.m.-2 p.m. (Eastern time) Saturday
Retail Prior Authorization — 1-844-429-7761
Medical Injectables — 1-844-429-7762