登入、註冊帳戶、支付帳單、列印會員卡等。
登入個人帳戶、查看病患資訊等。
点击下面的类别,获取重要的药房文件和资源。
Specialty Medication Prior Authorization Criteria: Medicaid, CHP, and Metal-Level Plans (PDF)
Specialty Medication Prior Authorization Criteria: Medicare (PDF)
Pharmacy Electronic Prior Authorizations
Medication Request Form for Medicaid, CHP, and Qualified Health Plans (PDF)
Opioid Prior Authorization Form (PDF)
Hepatitis C Prior Authorization Form (PDF)
Medicare Medication Request Form (PDF)
Medicare Electronic Drug Coverage Determination Form
New York State Department of Health standardized prior authorization form (PDF)
2022药物配方 (PDF)
2022配方 (PDF)
药房网络的变化 (2021年1月1日生效)
Acaria Health Specialty Medication Referral Form (PDF)
Billing Medicaid Pharmacy LTC/SNF Claims (PDF)
CVS Caremark Specialty Pharmacy Fax Enrollment Form (PDF)
HealthierLife (HARP) Coverage and the Behavioral Health Carve-in: July 2, 2018 (PDF)
Notice on the 2018 Flu Season Medications (PDF)
Pharmacy Vaccine Coverage and Billing Guide for Medicaid, CHP and HARP (PDF)
Requesting Synagis for Fidelis Care Members (PDF)
What is Biosimilar? (PDF)
American Society of Clinical Oncology Statement: Biosimilars in Oncology (PDF)
核實會員資格,查看理賠狀態,等等。
提供者手册,技巧表,重要表格和应用程序。
医疗保险,医疗补助和儿童健康以及 和NY State of Health市场计划的授权网格。