Access to personalized resources
Log in to the Member Portal to access everything about your prescription plan, including your prescription pricing and retail pharmacy network options, your claims history and more.
Our Member Services are available 24 hours a day, 365 days a year to answer questions about claims, initiate prior authorization for medications, or get help accessing the Member Portal.
Control and manage your retail pharmacy prescriptions from your phone with myPrescryptive. You also get to choose where and how you want to fill your prescriptions. For mail order prescriptions, contact Walmart Pharmacy to set up your account before or after your prescription is sent.
STANDARD PLAN MEDICATIONS – Four tier formulary guide to drug coverage.
PREVENTATIVE MEDICATIONS – Find out which preventive medications are covered at no cost to members.
SPECIALTY MEDICATIONS – Learn more about which specialty medications are preferred, and the process to get started on these medications.
PRIOR AUTHORIZATION MEDICATIONS – Find out which medications, including specialty medications require a prior authorization review.
MEDICATION QUANTITY LIMITS – View the medications that have limited quantities restrictions without a prior authorization.
AGE LIMIT RESTRICTIONS – Learn which medications have an age limit restriction that requires a prior authorization.
HEALTHY VALUES MEDICATION LIST – Learn about medications that offer the best value.
Experience the convenience of home deliveries through our national mail order pharmacy partner, Walmart Pharmacy. They are coordinated with your Prescryptive benefit for a hassle-free experience.
Specialty medications require a prior authorization before being covered. A prior authorization request form must be submitted by a healthcare provider on behalf of their patient to initiate the process.
With approval for a specialty medication, members receive complimentary access to specialty pharmacy care teams who work in partnership with your physician to ensure treatment adherence and success.
Get started with Amber Pharmacy by first learning how prior authorizations work and starting the process with your healthcare provider.
PRIOR AUTHORIZATION REQUEST FORM – Give this form to your healthcare provider to get a prior authorization review started.
MEMBER REIMBURSEMENT FORM – Use this form to be reimbursed for a claim you paid directly.
MEMBER APPEALS REQUEST FORM – Use this form to appeal a previous prior authorization decision.