Drug Recalls

Member Resources

  • Compliance Hotline

  • Compound Claim Form

  • Coronavirus FAQs

  • Direct Member Claim Form

  • Filling a Prescription at the Pharmacy

  • Foreign Claim Form

  • Fraud, Waste, and Abuse

  • Making it Right / Complaints and Grievances

  • Medicare Appointment of Representative Form

  • Medication Therapy Management (MTM) (Pharmacy)

  • Medline Plus®

  • Member Rights and Responsibilities

  • Network Pharmacy List (PDF)

  • OTC-COVID 19 At Home Test Claim Form

  • Pharmacy Directory

  • Prior Authorization Process

  • Release of Information

  • Release of Information Form – English

  • Release of Information Form – Spanish

  • Specialty Pharmacy

  • Text Messaging Program

  • Vaccinations

Prescriber Resources

  • Pharmacy and Practitioner Exclusion Troubleshooting

  • Specialty Pharmacy

  • Prior Authorization

  • Prescriber FAQs

  • Medication Therapy Management (MTM) (Prescribers)

  • Formularies

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  • 835 Request Form
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  • Direct Member Claim Form
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  • Electronic Funds Transfer Form
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  • HI LTC Attestation
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  • Medicare Appointment of Representative Form
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  • OTC-COVID 19 At Home Test Claim Form
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  • Pharmacy Audit Appeal Form
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  • Pricing Research Request Form
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  • Prior Authorization Forms
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  • Release of Information Form – English
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  • Release of Information Form – Spanish
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  • Texas Delivery Attestation
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