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Step Therapy Drug List

Read more about Step Therapy Drug List

Cognitive Service Fee Claims (Step Therapy Modules)

Read more about Cognitive Service Fee Claims (Step Therapy Modules)

Frequent Dispensing Form

Read more about Frequent Dispensing Form

Group User ID Request Form for Online Statements

Read more about Group User ID Request Form for Online Statements

Pharmacy Provider Contacts

Read more about Pharmacy Provider Contacts

Units of Measure Updates (Package Size)​

Read more about Units of Measure Updates (Package Size)​

Pseudo DINs

Read more about Pseudo DINs

Claim Form for drugs over $9,999.99

Read more about Claim Form for drugs over $9,999.99

Drug Recall Protocol

Read more about Drug Recall Protocol

Pharmacy Provider Manual

Read more about Pharmacy Provider Manual

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