Dealing with rejected claims
We're sorry for the inconvenience that dealing with rejected claims causes your pharmacy. Here are some suggestions for resolving this issue.
Claims are rejected because a member's drugs are non-formulary or are subject to a Formulary Restriction.
- See Prior Auth Information for Pharmacists
- Call us to discuss this issue: (866) 684-5395 24 Hours a Day, 7 Days a Week.