Prior authorizations (PAs) can be submitted by completing the FairosRx Prior Authorization Request Form and faxing it to 866-816-2136. For assistance submitting a prior authorization or for questions, please contact FairosRx at 833-464-9600. We are available from 7:00am to 9:00pm CST Monday through Friday and Saturday and Sunday from 9:00am to 5:00pm CST.
Access our most commonly utilized formulary here.
To process a pharmacy claim, use the following information:
If you need assistance processing a pharmacy claim, please contact our pharmacy help desk at 833-464-9600. We are available 24 hours a day, seven days a week.
For MAC appeals, pharmacists can call 833-464-9600 for appeals form and instructions.