Helpful Resources for Providers
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Copay Structure
Check out our current copay tier structure for the medications you’re prescribing. Click for Our Copay Structure
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Prior Authorization
If you need a prior-authorization question set, you can request one using:
- Preferred online portal (Cover My Meds or Surescripts)
- Fax: 833-896-0650 for non-specialty or 833-896-0648 for specialty.
- Prior authorization forms are available here, Prior Authorization Form Non-Specialty and Prior Authorization Form Specialty.
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Troubleshooting Help
If you’re having issues and need help troubleshooting, call us at 866-943-4535.