Provider doing paperwork

Welcome Providers

Resources & Information

We’re dedicated to bringing you the information you need to best care for your patients. Here you can quickly access processing information, pharmacy enrollment requests, electronic pay information, MAC disputes and more.

Independent pharmacies must fill out the FWA Attestation located in Part 1 of pharmacy’s NCPDP Profile.

Questions? Please call our Pharmacy Help Desk at 1-800-361-4542 or visit the contact us page.

Pharmacies located in Puerto Rico, calling on behalf of MCS claims may call 1-844-633-1064.

Prescriber Information for Elixir Specialty

Tweet, Tweet! As of February 1st, Elixir Mail Order Pharmacy is now Birdi! You will see the Birdi name on your medication packages and pharmacy communications. Don’t worry, we’re still the same company and your prescriptions will still be handled by the same experienced and dedicated team—just with a new name!

You don’t need to do anything. You’ll still get the same great service. We're excited about our new name and our continued commitment to serving you with your medication needs. Thank you for being a Birdi customer!

Pharmacy Resources

Bulletins and Communications

Posted below are recent communications and bulletins sent to the pharmacy network.

Enroll - Joining Our Network

How to become a Participating Pharmacy in the Elixir Network: Enrollment for Independent Pharmacies

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

Processing Information

Please use the following links to ensure correct processing:

Electronic Payment and Remittance

We are happy to provide our participating pharmacies with the opportunity to receive payment electronically via ACH and remittance details electronically in HIPAA 835 format. You must submit all forms to PharmacyPayables@elixirsolutions.com in order for your request to be processed.

Download the Payment and Remittance forms.

Download the instructions.

Please contact us at PharmacyPayables@elixirsolutions.com with any questions.

MAC Pricing

In order to submit an appeal please use this Excel form and send to MAC@Elixirsolutions.com. Email Subject should include the name of the Pharmacy appealing as well as the date the appeal is being submitted, if only for one drug include the RX Number as well. All appeals must be filed within 90 Days of the Fill Date and contain all the information below, with cell type in parentheses, to be processed:

Appeals will be processed in the order they are received and responded to within seven business days from MAC@ElixirSolutions.com with the result including a reason for approval/denial. If you disagree with an appeals decision you can file a second appeal by including the invoice and it will be handled on the same cadence as the original appeal.

An initial appeal process is available for all prescription drugs in applicable states such as Tennessee for which a pharmacy alleges that it did not receive its actual cost. You can initiate an initial appeal by using the appeals method described above.

MAC pricing is also available to pharmacies upon request by calling the Help Desk at 1-800-361-4542 or emailing MAC@elixirsolutions.com

Pharmacies may contact us with MAC concerns at MAC@elixirsolutions.com or through the Elixir Help Desk at 1-800-361-4542.

Pharmacies located in Puerto Rico, calling on behalf of MCS claims may contact us with MAC concerns at MAC@elixirsolutions.com or call 1-844-633-1064.

Pharmacy Satisfaction Survey

Please take a minute to complete our Pharmacy Satisfaction Survey. Your responses will be kept confidential.

It is through your honest feedback that we can improve our services to you. It will only take a few minutes to complete.

Thank you.

Pharmacy Audits

Health Information & Resources

Please note that by clicking these links, you may be leaving the Elixir website.

For any other questions regarding how to use our pharmaceutical management procedures or the content within, please call 800-361-4542 and our customer care team will be happy to assist you.

Utilization Management Statement

Prescriber Resources

We’re dedicated to bringing you the information you need to best care for your patients. Here you can quickly access coverage determination links, forms, and other helpful information.

The Elixir Pharmacy and Therapeutics (P & T) Committee is a multidisciplinary team of physicians, pharmacists, and other health care professionals that provides clinical oversight of the drug utilization management process. This information is available to prescribers upon request. For any questions, please contact us.

Coverage Determination Forms

General Forms:

State of Colorado Form

State of Illinois Form

State of Maryland Forms

State of Oklahoma Form

Covered Drug Lists

The following are lists of the most commonly prescribed brand medications. They represent an abbreviated version of the drug list (formulary) that is at the core of each prescription-drug benefit plan. These lists are not all-inclusive and do not guarantee coverage. In addition to drugs on these lists, the majority of generic medications are covered and members are encouraged to ask their doctor to prescribe generic drugs whenever appropriate.

The Elixir Pharmacy and Therapeutics Committee is responsible for the development and maintenance of the Formularies. The Committee is comprised of independent practicing physicians and pharmacists from a wide variety of medical specialties. The formularies are reviewed and updated as new drugs or new prescribing information becomes available.

Factors which affect decisions regarding the formulary include safe use, clinical efficacy, and therapeutic need. Cost is considered only after all other factors are assessed. Compliance with the formulary is important for improving quality of care and restraining health care costs. As a component of formulary compliance, preferred brand drugs may be moved to non-preferred status if a generic version becomes available during the year. Any medication approved to enter the market will not be covered until reviewed by the Elixir Pharmacy and Therapeutics Committee. These lists may be subject to change and not all drugs listed are covered by all prescription-drug benefit programs.

2024:

2023:

Health Information and Resources

Please note that by clicking these links, you may be leaving the Elixir website.

For any other questions regarding how to use our pharmaceutical management procedures or the content within, please call 800-361-4542 and our customer care team will be happy to assist you.

Additional Provider Support

Please note that by clicking these links, you may be leaving the Elixir website.