Pharmacy and drug authorizations

Separate pharmacy-benefit requests from drugs billed under the medical benefit. The PBM and the insurer may use different contacts.

pharmacy help desk

Pharmacy provider services - commercial (CVS)

Official page read

Phone800-600-0180Published hours

24/7

Product, plan and location

commercial
California

Mailing address

Not researched for this route

View source ↗ · Source checked 2026-10-21

Report an update

Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.

pharmacy help desk

Pharmacy provider services - Individual and Family Plans (ESI)

Official page read

Phone833-750-1144Published hours

24/7

Product, plan and location

exchange
California

Mailing address

Not researched for this route

View source ↗ · Source checked 2026-10-21

Report an update

Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.

pharmacy prior auth

Health Net Pharmacy Help Desk (commercial, IFP, Medi-Cal, Ambetter)

Official page read

Phone800-867-6564Published hours

M-F 5am-7:30pm PT

Product, plan and location

commercial · exchange · medicaid
California

Mailing address

Not researched for this route

Menu guidance in the source record

Option 2 (Medicare: Option 1)

Menus can change. No live call verification is claimed.

MedPharm faxes: IFP 844-235-5094, Medi-Cal 833-953-3436, commercial 844-235-5095, Ambetter and Medicare 800-314-6223; Medicare retail fax 866-226-1093.

View source ↗ · Source checked 2026-10-21

Report an update

Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.

pharmacy prior auth

Clinical Pharmacy Programs - all products

Official page read

Phone866-339-2787Published hours

M-F 5am-5pm PT, 24-hr voicemail

Product, plan and location

medicaid · commercial · exchange · medicare advantage
California

Mailing address

Not researched for this route

View source ↗ · Source checked 2026-10-21

Report an update

Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.

pharmacy help desk

Pharmacy discharge pager - commercial and Medicare

Official page read

Phone800-204-1610Published hours

M-F 8am-6pm PT

Product, plan and location

commercial · medicare advantage
California

Mailing address

Not researched for this route

View source ↗ · Source checked 2026-10-21

Report an update

Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.

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Call preparation · editorial guide

Make the call count.

Separate pharmacy-benefit requests from drugs billed under the medical benefit. The PBM and the insurer may use different contacts.

Have ready in your secure workspace

PBM name and the pharmacy identifiers on the card
Drug, formulation and prescription information
Prescriber details and previous review reference

Questions to resolve

Is this processed under the medical or pharmacy benefit?
What is the correct review and submission channel?
Is there a separate specialty pharmacy or appeal team?

This is a general administrative checklist, not payer policy or advice about a particular patient. Confirm the current plan instructions.

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A request does not create an account or start a call. Use business contact information only. No patient information.

Pharmacy and drug authorizations

How did your call go?

Share a call experience

Suggest a correction

Make the call count.

Have ready in your secure workspace

Questions to resolve

Found the contact. Still need to make the call?

Put payer follow-upon your office’s worklist.

See how it could work for your practice

Put payer follow-up
on your office’s worklist.