Welcome to the Pharmacy Provider Portal. We’re dedicated to bringing you the information you need to best care for your patients. Here you can quickly access processing information, pharmacy enrollment requests, electronic pay information, MAC disputes and more.
Independent pharmacies must fill out the FWA Attestation located in Part 1 of pharmacy’s NCPDP Profile.
For additional questions, please call our Pharmacy Help Desk at 1-800-361-4542 or contact us.
Posted below are recent communications and bulletins sent to the pharmacy network.
How to become a Participating Pharmacy in the Elixir Network: Enrollment for Independent Pharmacies
For all other inquiries, please contact the Elixir Help Desk toll-free at 800-361-4542.
Please use the following links to ensure correct processing:
We are happy to provide our participating pharmacies with the opportunity to receive payment electronically via ACH and remittance details electronically in HIPAA 835 format. You must submit all forms to PharmacyPayables@elixirsolutions.com in order for your request to be processed.
Download the Payment and Remittance forms.
Download the instructions.
Please contact us at PharmacyPayables@elixirsolutions.com with any questions.
MAC pricing is available to pharmacies upon request by calling the Help Desk at 1-800-361-4542 or emailing MAC@elixirsolutions.com.
Pharmacies may contact us with MAC concerns at MAC@elixirsolutions.com or through the Elixir Help Desk at 1-800-361-4542. Appeals will be responded to within seven business days.
Pharmacies are requested to provide the following to ensure that requests can be reviewed without any disruption:
Please take a minute to complete our Pharmacy Satisfaction Survey. Your responses will be kept confidential.
It is through your honest feedback that we can improve our services to you. It will only take a few minutes to complete.
Thank you.
Please note that by clicking these links, you may be leaving the Elixir website.
For any other questions regarding how to use our pharmaceutical management procedures or the content within, please call 800-361-4542 and our customer care team will be happy to assist you.
The Elixir Pharmacy and Therapeutics (P & T) Committee is a multidisciplinary team of physicians, pharmacists, and other health care professionals that provides clinical oversight of the drug utilization management process. This information is available to prescribers upon request. For any questions, please contact us.
State of Colorado Form
State of Illinois Form
State of Maryland Forms
State of Oklahoma Form
The following are lists of the most commonly prescribed brand medications. They represent an abbreviated version of the drug list (formulary) that is at the core of each prescription-drug benefit plan. These lists are not all-inclusive and do not guarantee coverage. In addition to drugs on these lists, the majority of generic medications are covered and members are encouraged to ask their doctor to prescribe generic drugs whenever appropriate.
The Elixir Pharmacy and Therapeutics Committee is responsible for the development and maintenance of the Formularies. The Committee is comprised of independent practicing physicians and pharmacists from a wide variety of medical specialties. The formularies are reviewed and updated as new drugs or new prescribing information becomes available.
Factors which affect decisions regarding the formulary include safe use, clinical efficacy, and therapeutic need. Cost is considered only after all other factors are assessed. Compliance with the formulary is important for improving quality of care and restraining health care costs. As a component of formulary compliance, preferred brand drugs may be moved to non-preferred status if a generic version becomes available during the year. Any medication approved to enter the market will not be covered until reviewed by the Elixir Pharmacy and Therapeutics Committee. These lists may be subject to change and not all drugs listed are covered by all prescription-drug benefit programs.
2023:
Please note that by clicking these links, you may be leaving the Elixir website.
For any other questions regarding how to use our pharmaceutical management procedures or the content within, please call 800-361-4542 and our customer care team will be happy to assist you.
Please note that by clicking these links, you may be leaving the Elixir website.