To check a member's eligibility, you'll need some member identifying information, such as:
- Member's ID number, or
- Member's name, date of birth, and state, or
- A social security number
Check Member Eligibility
Search for a claim with either of these:
- Member ID number
- Rx number and date of service.
Search for a Claim
Drug Coverage & Pricing
Search to see if a drug is covered under the member's plan - using the member's ID number and the drug name.
Check Drug Coverage & Pricing
Prior Authorization Status
Check the status of a claim requiring Prior Authorization - using the member's ID number and the drug name.
Check Prior Authorization Status