Access key forms for authorizations, claims, pharmacy and more.
A fillable form documenting behavioral health areas of specialization
Contains key phone numbers and information on claims, appeals and more.
Refund Check Information Sheet* (RCIS)
This list includes the most commonly prescribed medications that were on the 2016 formulary and their preferred 2017 alternatives.
Fill out and submit this form to request prior authorization (PA) for your Medicare prescriptions.
Fill out and submit this form to request an appeal for Medicare medications.