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Pharmacy support

We offer a balanced and comprehensive pharmacy benefit, which includes mail-order options.

For additional help, contact our Pharmacy Customer Service team at 844-931-1780 or pharmacy@modahealth.com

Formulary

We partner with Navitus to provide access to the formulary for our Rx plans.

 

Prior authorizations

CoverMyMeds facilitates prior authorization for medications. To submit a prior authorization, please login or create an account at covermymeds.com

See our formularies as the source for coverage details, including prior authorizations.

 

Prior Authorization Form for Prescription Drug Benefits - form to request prior authorizations of prescription drugs

(SOURCE: Texas Department of Insurance)

Mail order

Moda Health Rx plans offer several mail-order service options:

  • Costco - fill prescription online for shipment to your home
  • Postal Prescription Services (PPS) - members can get up to a 90-day supply delivered directly to an address within the U.S. Standard shipping is free. To learn more, please call toll-free 800-552-6694.

 

Special pharmacy services

Ardon Health is our specialty pharmacy. Based in Portland, Oregon, Ardon Health provides free delivery of specialty medications to a patient's home or physician's office. You can learn more at ardonhealth.com.

Questions?

Medical Customer Service is at 844-931-1779.

We're available 6:00 a.m. to 6:00 p.m. Monday through Friday, 9:00 a.m. to Noon Saturday, Sunday, and Holidays (Central Time).

See more contact details

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