We will administer pharmacy benefits for enrolled members. Express Scripts, Inc. (ESI) 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.
To request or check the status of a prior authorization request or decision, please log in to the Availity Portal.
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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