Pharmacy Providers

Welcome to the Pharmacy Provider Portal. We’re dedicated to bringing you the information you need to best care for your patients.

For additional questions, please call our Help Desk at 1-800-771-4648 or contact us.

Processing Information

Pharmacy Enrollment

How to become a Participating Pharmacy in the Elixir Network:

  1. Ensure Part I and II of your pharmacy’s NCPDP profile is up-to-date with the most current information.
  2. Complete all fields on thePharmacy Network Enrollment Request Form and return to Provider Relations via email
    • Pharmacy Network Enrollment Request forms that are not signed will not be processed.
  3. Once the completed Pharmacy Network Enrollment Request form is received, Provider Relations will review in addition to Part I and II your pharmacy’s NCPDP profile for credentialing.
    • Please note, completion of the Pharmacy Network Enrollment Request form and NCPDP Part I and II does not guarantee access into the Elixir Network.
  4. You will receive an email response back stating whether your pharmacy has passed credentialing or not.
  5. If your pharmacy passes credentialing, you will be sent a Participating Provider Agreement (PPA) for signature.
  6. Once Provider Relations has received the signed PPA from your pharmacy, please allow 7-10 business days before you are able to process claims.

For all other inquiries, please contact the Elixir Pharmacy Help Desk toll-free at 1-800-361-4542.

MAC Disputes

MAC pricing is available to pharmacies upon request by calling the help desk at 1-800-361-4542 or emailing 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:

  • RxBIN
  • GroupID
  • Rx number
  • Date of fill
  • NDC
  • Drug and strength
  • Quantity dispensed
  • NCPDP number
  • Acquisition cost
  • Contact name and number