Resources

MARKETPLACE DRUG LIST – Four tier drug list guide to coverage.
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.

Prescryptive members receive top-quality care and service from our pharmacy partners including thousands of retail pharmacies across the country. To find a network retail pharmacy in your neighborhood, login to your member portal and use your pharmacy finder tool.

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.

e-Prescribe: Walmart Pharmacy 2625
Phone: 1-800-2-REFILL (1-800-273-3455)
Fax: 1-800-406-8976
Walmart Pharmacy

We use a network of specialty medication pharmacies. 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.

Here is a list of specialty medications.

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.

APPEALS PROCESS – Learn how to use the appeals process.
EMERGENCY FILL POLICY – Learn our policy for addressing emergency prescription needs.
PRIVACY POLICY – Understand how your personal information is protected by Prescryptive.