Network Pharmacy Support

BIN/PCN:017274/PDMI

TrueScripts serves as a true partner to our pharmacy providers, sharing your commitment to proper outcomes and offering our full support with the information and claims processing assistance you need to deliver amazing care. For optimum speed, accuracy and results, use the appropriate communication method listed below for all your questions and requests. For the quickest response, email is recommended.

TrueScripts Contact Information/Phone Number


Pharmacy Help Desk: 844-257-1955

Fax: 812-257-1968

 

Business Hours:

Monday through Friday
8:00 AM to 6:00 PM EDT

 

Business Address:

513 E. South Street
Washington, IN 47501



Pharmacy Network Team

Phone: 330-859-7364 (Option 4 then Option 2)
Fax: 330-230-9277


PDMI Rx Pharmacy Manual


PDMI Rx Pharmacy Manual

MAC Appeal Submission Guide and FAQ


MAC Appeal Submission Guide and FAQ

The formularies below are prescription drug lists of brand-name and generic medications that have undergone a careful review by a committee of prescribers and pharmacists. Medications on these lists are subject to plan parameters and changes made in accordance with our actively managed formulary.

PHARMACY PRICING APPEALS


A pharmacy may submit a pricing appeal using the Pharmacy Appeal Form.

  • Email the form.
  • Fax to 330-230-9277. If a fax is sent, please include an email address. An email address is required for a response.

Download the Pharmacy Appeal Form.


  • The pharmacy must provide invoices or wholesaler information demonstrating proof to acquisition cost.
  • The initial appeal process is available for all prescription drugs or devices in the state in which a pharmacy alleges it did not receive its actual cost.

Pharmacy appeals must be submitted within 7 business days of the initial claim submitted for reimbursement. The appeal will be reviewed, and an e-mail response will be provided within 7 business days. If the Pharmacy submits an incomplete initial appeal, the pharmacy will be notified within 5 business days of the information needed to complete the initial appeal and to initiate the review. The pharmacy may respond within 5 business days of receipt of the notice outlining the requested information. If the pharmacy fails to provide the requested information within 5 business days of receipt of the notice, the initial appeal may be denied.

Contact us at (330) 859-7364 with any questions.

Appeal Documents and Resources


We want to give you Amazing Care.