Pharmacy

See what drugs are covered under your plan, find a pharmacy near you, and more. Explore all pharmacy-related information for your plan by browsing the links below.

For more information on how to fill your prescriptions, please review the Member Handbook.

Pharmacy Search

To find a pharmacy near you, use our Online Pharmacy Search tool.

Provider Forms

• CoverMyMeds Prior Authorization Forms

• Drug Exception Form (PDF)
• Fax Discharge Form (PDF)
• Healthy Living Medical Supply Form (PDF)
• Medicaid Health Plan Pharmacy Carve-Out (PDF)
• Medication Prior Authorization Request Form (PDF)
• Medical Outpatient Prior Authorization Request Form

Member Forms

• Member Reimbursement Form (PDF)
• Member Internal Appeal Form (PDF)
• Member Auth Representative Form (PDF)

MAC Appeal Information

• Mac Appeal Instructions (PDF)

MeridianRx Information

Beginning 4/1/2022, members will have 60 days to access past prescription drug benefit information from the MeridianRx portal and MeridianRx Mobile App.

Download the app now.

For members struggling with opioid addiction, it is important to provide the right treatment at the right time. Visit the CDC for resources that may help in identifying the appropriate treatment.