Providers

By dena, 2 May, 2024
Welcome Providers: Headline

Welcome Providers!

Welcome Providers: Subtxt

Thank you for the work you do to support the health of our members. 

Welcome Providers: Description

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.

Provider Images: Doc
Image
Doctor with clipboard
Provider Images: Pharmacist
Image
Helpful Pharmacist
Provider Support: Header

Provider Support:

Call Us: 877-266-2378
Call Us: Hours of oper

Our provider support hotline is available to you 24 hours a day, 7 days a week, 365 days a year. 

Contact: Email
Provider Resources: Headline

Provider Resources

Formulary Details: Headline

2024 Formulary

Formulary Details: Description

This formulary is the list of drugs that are included in your prescription plan. Please keep in mind coverage can vary by plan.

File: Formulary

download formulary

Formulary: File
Medtipster Performance Formulary_7.1.24.pdf
Prior Auth Details: Headline

Prior Authorization

Prior Auth Details: Description

Use this form to begin a Prior Authorization request. If you have questions please call our customer service hotline.

File: Prior Auth

download form

Prior Auth: File
Medtipster Prior Authorization Form 07.2021_0.pdf