Information for Healthcare Providers and Pharmacies

Welcome

Thank you for visiting PrescribaRx^SM. This site provides you helpful resources you need to better understand your patients’ coverage. Learn about the pharmacy benefits for your patient’s prescription drug coverage (will open in new browser window).

Provider Resources

• Formulary Changes
• Prior Authorization Status Search
• Formulary and Prior Authorization Forms
• Vaccine Administration Claim Form
• Access information pertaining to the CMS Non-matched list