Pharmacy - Provider Information

New Pharmacy Benefit Manager (PBM) for your generic and brand name drugs and pharmacy support. 

On January 1, 2024, our pharmacy benefit manager (PBM) shifted from Cigna to MaxorPlus. MaxorPlus has over 29 years of experience and will offer new online tools, as well as, an award winning customer service team that will be available for 24/7/365 support. More information will be provided during the annual benefits open enrollment in October.

A new resource that will be available to SmartHealth members will include the Drug Search tool. This tool will allow members to search medications to determine the formulary tier, drug class coverage, and if a prior authorization is required.

MaxorPlus’ award-winning customer service Call Center support is available to help answer questions and provide additional information on the 2024 pharmacy benefit, including how to locate a participating in-network pharmacy.

Ascension Rx continues to be a benefit for SmartHealth members and is the preferred pharmacy for specialty and maintenance medications. Ascension Rx offers home delivery services on certain maintenance medications in 90-day supplies. Outpatient specialty prescription medications must be filled by Ascension Rx Specialty Pharmacy to avoid paying the full out-of-pocket cost. For more information on how to enroll or find pharmacies with Ascension Rx, visit ascensionrx.com, call 833-MEDS-ARX (633-7279) Monday - Friday 8:00 a.m. to 5:00 p.m. CST.