Prescribe to a better Patient Benefit Experience

We made provider tools easy to find.  Explore drug lists and provider forms, and access our electronic prior authorization portal. 

Support That's Provider Focused and Service Fueled

Maximize your patient's pharmacy benefit experience with our drug lists and provider forms listed below.

If you need to submit a PA, you can do so online through our SureScripts electronic prior authorization (ePA) portal.   

epa Portal

Ready to Serve

Call (800) 759 3203

Fax: (866) 494 0364

Monday-Friday 7:30 a.m. - 9 p.m.

Saturday 8 a.m. - 6 p.m.

Sunday 9 a.m. - 3 p.m.

Hours are CT

Drug Lists

Our drug list helps members and prescribers choose safe and effective drug therapies that are cost effective and covered by their pharmacy benefit.

Provider Forms

To ensure proper delivery of care, members may be asked to complete and return specific forms to us. From time to time, you may be asked to complete and return specific forms are well. To request additional forms please call 800-759-3203.

Pharmacy Provider Manual

Serve You Rx® appreciates your participation in the network, and we hope you find this Pharmacy Provider Manual helpful.

The manual has policies, guidelines, tips, and other useful information to help you deliver accurate and patient-focused pharmaceutical care to the Serve You Rx membership. Additionally, you may access maximum allowable cost (MAC) pricing, review, and appeals information in this resource.

As applicable, you may access MAC List Price data here.

Download Manual

Questions about pharmacy benefit management services and beyond? Don't hesitate to get in touch.

Partners: 888-243-6890

Members and Providers: 800-759-3203

Contact Us

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