Prescribers

Envolve Pharmacy Solutions is leading the way into the future of prescribing by providing the kind of full-service drug management that has a patient-focused philosophy, an attitude of partnership with prescribers, and the expertise, operations and data-driven technology to deliver better service and healthcare outcomes.

  • We bridge the gap between medical and pharmacy to provide prescribers with a complete picture of the patient.
  • Leading-edge analytics allow us to locate cost-effective prescriptions for patients that are clinically appropriate while helping to curb drug costs.
  • Our innovative clinical programs support patient adherence to their medication regimen so they can achieve their best health.

On this web page, prescribers will find information about the pharmacy benefit for Envolve Pharmacy Solutions members as well as information regarding Prior Authorizations (PA).

If you do not see what you are looking for here, please contact our Member Services Center at: 

Toll Free: (800) 460-8988

TTY: (866) 492-9674

Prior Authorization

There are three options for submitting a Prior Authorization (PA) form:

  1. Complete and submit our online form
  2. Locate the appropriate form from our plan websites
  3. Submit PA electronically through CoverMyMeds (some plans only)

Once you have printed the form and completed all appropriate fields, please fax the completed form to the number listed on the form.

PA Review:

Depending on the type of medication and whether any additional information is needed to process the PA request, the review process can take one day, a few days, or longer. Your assigned Envolve Pharmacy Services PA contact will guide you through the process if additional information is required. Please contact the Member Services Center at the number listed on this web page if you have questions about the PA review.

Requesting an Appeal:

If a PA request is denied, instructions for the Appeals process will be included within the communication sent informing you of the decision. Additional contact information will also be provided within the communication. Please contact the Member Services Center at the number listed on this web page if you have questions about an appeal.