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Pharmacy for providers


Navigate key pharmacy resources designed to support your clinical and administrative needs. Whether you’re managing medical pharmacy requests, accessing prior authorization guidance, or reviewing legislative requirements, we have the tools and information you need. 

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Medical pharmacy

Learn more about pharmaceutical therapies administered by a provider and billed through the medical benefit.

Medical pharmacy

Retail pharmacy

Learn more about pharmaceutical therapies covered through the retail pharmacy benefit.

Retail pharmacy

Drug reimbursement appeal process

Read details about the new legislative Act 570 regarding the Drug Reimbursement Appeal Process.

Appeal process

Medical oncology medications

Information for providers on requesting prior authorization for medical oncology drugs.

Learn more