Member Service

Formulary Drug Listing:

Prior Authorization Drug Listing:

Specific Drug Listings for Illinois group contracts:

Specific Drug Listings for New York group contracts:

Specific Drug Listings for Texas group contracts:

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• California
• Colorado
• Connecticut
• Georgia
• Illinois
• Indiana
• Kentucky
• Michigan
• New Jersey
• New York
• Ohio
• Pennsylvania
• South Carolina
• Tennessee
• Texas
• Wisconsin
• Oregon

• Claim Correspondence: Did you get a letter in the mail that is requesting more information on a claim? Click here to provide more information

• Claim forms: Looking for a claim form? You may print or download one of the following forms to use.
  
  Standard Claim Forms
  Medical
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Want to look up the status of a claim? Or review your benefits? Register and log in to our member portal to have immediate access to all of the information you need about your insurance coverages.