Hmsa quest dental 2023. HMSA Dental employees also came together for hands-on support. On two occasions, groups of teammates volunteered their time with Makana O Ke Akua, carefully sorting and ... Dental Care Providers, Facilities, and Staff Fall 2023 HMSA ACA Dental Plans Effective Jan. 1, 2024, there will be changes to HMSA Affordable Care Act dental plans. They ...
The HMSA Dental HMO Silver plan for adults and children offers many valuable benefits that take care of your teeth and gums and can help improve your overall health. You don't need to fill out claim forms when you visit a participating dentist. ... 8/4/2023 6:48:02 PM ...
AlohaCare and Hawai'i's Medicaid office (Med-QUEST) will never charge you for renewing your Medicaid coverage. You may receive a call, text or letter from AlohaCare or Med-QUEST, but we will never ask for money or bank/credit card information. If you have questions, call us at AlohaCare Customer Service at 1-877-973-0712 or TTY 1-877-447 ...
However, HMSA is covering audio-only visits for diagnosis, evaluation, and treatment of certain mental health conditions until Dec. 31, 2025, in alignment with Hawaii Revised Statute 346-59.1 as amended by 2023 Hawaii legislative session HB 907. Reimbursement rates for audio-only visits will be paid at 80% of the standard in-person rate.HMSA Center @ Pearl City Pearl City Gateway 1132 Kuala St., Suite 400 Monday through Friday, 9am – 7pm Saturday, 9am – 2pm HMSA Center @ Hilo Waiakea Center 303A E. Makaala St. Monday through Friday, 9am – 7pm Saturday, 9am – 2pm HMSA Center @ Kahului Puunene Shopping Center 70 Ho’okele St., Suite 1200 Monday through Friday, …
TTY users 1-877-486-2048. or contact your local SHIP for assistance. Email a copy of the HMSA Akamai Advantage Complete Plus (PPO) benefit details. — Medicare Plan Features —. Monthly Premium: $120.00 (see Plan Premium Details below) Annual Deductible: $0. Annual Initial Coverage Limit (ICL):When it comes to booking an appointment with Quest Diagnostics, one of the largest providers of diagnostic testing services in the United States, there are several convenient optio...HMSA Center @ Pearl City Pearl City Gateway 1132 Kuala St., Suite 400 Monday through Friday, 9am – 7pm Saturday, 9am – 2pm HMSA Center @ Hilo Waiakea Center 303A E. Makaala St. Monday through Friday, 9am – 7pm Saturday, 9am – 2pm HMSA Center @ Kahului Puunene Shopping Center 70 Ho’okele St., Suite 1200 Monday through Friday, …HMSA Center @ Pearl City Pearl City Gateway 1132 Kuala St., Suite 400 Monday through Friday, 9am - 7pm Saturday, 9am - 2pm HMSA Center @ Hilo Waiakea Center 303A E. Makaala St. Monday through Friday, 9am - 7pm Saturday, 9am - 2pm HMSA Center @ Kahului Puunene Shopping Center 70 Ho'okele St., Suite 1200 Monday through Friday, 9am - 7pmREDETERMINATION UPDATES. Med-QUEST has paused all terminations statewide for the rest of 2023. That means coverage will continue through the end of this year except …OE change requests and required supporting documents must be submitted through the EUTF Member Self-Service Portal by April 30, 2024. If you don't enroll through the EUTF Member Self-Service Portal, submit your completed EC-1/EC-1H enrollment form and required supporting documents to your employer's open enrollment designee by April 30, 2024, for changes to be effective July 1, 2024.Each plan offers a balance between the percent of coverage and out-of-pocket costs. All of our plans give your doctor more freedom to decide on the care that’s right for you. Healthcare Basics UHA 3000 (Bundle) UHA One Plan℠ (Bundle) UHA 600 (Bundle) Drug & Vision Plans Drug & Vision Plans Annual Deductible Annual DeductibleUnitedHealthcare Community Plan QUEST Integration is a managed care plan offered through Hawai‘i’s Department of Human Service Med-QUEST. UnitedHealthcare Community Plan is a health plan for members who are eligible for State-assisted Medicaid benefits. That includes pregnant women, children, adults, seniors, those who have special needs ...Find locations Quest ATMs by using online search tools at Yellowpages.com or through individual state welfare department websites. To find Quest ATMs through Yellowpages.com, type ...Drug Coverage. NOTE: All supplies are to be submitted to the Hawaii Medicaid Fiscal Agent for processing and reimbursement. Supplies can include DME, Diabetic, Medical, Prosthetic, Orthotic, etc. Supplies must be billed by HCPCS codes and not NDC numbers. For questions, please contact the Hawaii Medicaid Fiscal Agent at 808-952-5570 or 800-235 ...
Find a network dentist quickly and easily. When searching the directory, enter your dental plan name as printed on your HMSA membership card. Dentists and their staff understand you may be hesitant or anxious about making an appointment. You should feel free to call or drop by a dentist's office in advance to ask questions or check out the ...Top 10 Best Dental With Hmsa in Honolulu, HI - May 2024 - Yelp - Wai Kahala Dentistry, Stephen R Ho, DDS, Aloha Medical Mission, Black Point Dental, John T Wu & Christina N Nguyen-Ala Moana Center Dental Group, Ala Moana Dental Care, Kanemoto Steven, DMD, Elite Endodontics, Hoshino Endodontics, Masunaga S. Scott, DDSHMSA is an Independent Licensee of the Blue Cross and Blue Shield Association. Network management and claims and benefit management services for HMSA’s dental products are provided by LSV DM, LLC, an independent company.If applying to be participating with HMSA QUEST Integration, complete the QUEST Integration Additional Contracting Requirements Form (page Q-1) o. ... 3/1/2022 to …
Each plan offers a balance between the percent of coverage and out-of-pocket costs. All of our plans give your doctor more freedom to decide on the care that’s right for you. Healthcare Basics UHA 3000 (Bundle) UHA One Plan℠ (Bundle) UHA 600 (Bundle) Drug & Vision Plans Drug & Vision Plans Annual Deductible Annual Deductible
Mail appeals to HMSA Dental, P.O. Box 69437, Harrisburg, PA 17106-9437. 5 w DentalPro News - Dental Care Providers, Facilities, and Staff Spring 2023 Online Provider Resources
That's why HMSA offers a variety of affordable dental plans. Compare plans. Shop plans. Already a member? Find a dentist, see your Guide to Benefits and claims information, and more. Member home. Oral Health for Total Health. Exclusively from HMSA. Members with certain medical conditions can receive enhanced dental benefits to improve their ...Investing in dental health can yield many benefits. Discover a list of simple ways to keep your oral health on track. It's important to take care of your mouth and teeth starting i...The HMSA Dental HMO Silver plan for adults and children offers many valuable benefits that take care of your teeth and gums and can help improve your overall health. You don't need to fill out claim forms when you visit a participating dentist. ... 8/4/2023 6:48:02 PM ...If applying to be participating with HMSA QUEST Integration, complete the QUEST Integration Additional Contracting Requirements Form (page Q-1) o. ... 3/1/2022 to …11. QUEST Integration Additional Contracting Requirements. Form must be signed and dated. QUEST Integration Additional Contracting Requirements form was submitted to HMSA with no signature. 12. Medicaid HOKU Enrollment. Completion of HOKU registration. HOKU enrollment status showing as "Active" or "In Review".
Learn more about the UnitedHealthcare Community Plan QUEST Integration Program plan for Hawai‘i. Check eligibility, explore ... Dental care kit: Baby feeding kit: $10: 7: Lead screening: Childproofing kit: Children's ... PDF 359.07KB - Last Updated: 04/21/2023. Member handbook - English (Opens in new window) PDF 1.00MB - Last Updated: 01/23 ...Phone: 1-833-324-2095. Fax: 1-844-462-5176. Hours: 24 hours, 7 days a week. QUEST Integration claims processing or overrides. CarelonRx Medicaid Pharmacy Help Desk (Pharmacies Only) Phone Number: 1-833-329-1245. Hours: 24 hours, 7 days a week. Medical benefit (physician administered drugs) prior authorization request & status inquiries.Find locations Quest ATMs by using online search tools at Yellowpages.com or through individual state welfare department websites. To find Quest ATMs through Yellowpages.com, type ...In Hawaii, most of the Medicaid services are delivered through MCO. There are five (5) MCO health plans: AlohaCare, HMSA, Kaiser Permanente, ‘Ohana Health Plan, and UnitedHealthcare Community Plan that provides medical and Long Term Services and Support (LTSS) benefits. QUEST Member Handbook. Health Plans. Phone/Website. AlohaCare. 1-877-973 ...They have a large network of more than 5,000 doctors, hospitals, and other providers statewide. To enroll for an HMSA Medicare Advantage plan, call (808) 948-6235 or 1 (800) 693-4672 or visit hmsa ...2023 Health plan information for HMSA Bronze PPO by HMSA. Skip to content. Facts on Health Insurance. Find Health Plans. Get Help from a licensed agent. 1-877-668-0904 ; M-F 9am-10pm, Sat 12pm-8pm EST; ... Dental Check-Up for Children Not Covered: Rehabilitative Speech Therapy Covered: $50.00 :New Dental Fee Schedule Effective July 15, 2023; Med-QUEST Healthcare Advisory Committee Meeting - 04/19/2023; Med-QUEST Healthcare Advisory Committee Meeting - 06/21/2023; MHAC Meeting /QI 1115 Demonstration Project Annual Public Forum 08/16/2023; Screening, Brief Intervention, and Referral to Treatment (SBIRT) ...QUEST Integration Benefits; Additional Covered Benefits; Member Forms; Fee-For-Service; Member Resources; Fraud Prevention; Rights & Responsibilities. Grievance and ...Few things in life are as satisfying as receiving swift, convenient, and quality health service today. Pre-scheduled appointments help you achieve this goal and it’s the likes of Q...AlohaCare Provider Directory. HMSA Provider Directory. Kaiser Permanente Provider Directory. Kaiser Permanente HMO Directory. Kaiser Permanente LTSS Directory. 'Ohana Health Plan Provider Directory. UnitedHealthcare Community Plan Provider Directory.The Med-QUEST Division accepts applications for medical assistance coverage online, over the phone, or by mail or Fax. Fill out the application as completely as possible. Completed applications ensure more timely determination. If additional information is needed, the Med-QUEST Division will contact you. Apply Faster Online Fillable PDF Application Fill out the application as completely […]Department of Human Services, Med-QUEST Division via email at [email protected] or telephone at 808-692-8099. o Cultural Competency Plan For QUEST Integration, providers need to attest that they are aware of and will follow and incorporate into their practice the HMSA QUEST Integration Cultural Competency Plan. The link to the CulturalEffective 1/1/22 we created the HMSA Medicare Advantage network. You can verify your current participation status with this network by using our Find a Dentist portal. Simply enter the dentist’s name, select “All Islands,” and choose the according “Akamai Advantage (Dental)” plan from the drop-down menu under “Select Plan Name.”.20.500.12592/gxx7rw. Participating Provider Directory - For HMSA QUEST Integration Members - July 04, 2021 5 Jul 2021HMSA, An Independent Licensee of the Blue Cross and Blue Shield Association. HMSA Akamai Advantage is a PPO plan with a Medicare contract. Enrollment in HMSA Akamai Advantage depends on contract renewal. Every year, Medicare evaluates plans based on a 5-Star rating system. Last Updated: 10/18/2023 12:00 AM H3832_4006_Direct_ConsumerSaber-tooth cats are perhaps the most well-known extinct felines. Learn about saber-tooth cats and the behavior patterns of saber-tooth cats. Advertisement It's easy to imagine tha...1—HMSA Physical Therapies Codes 2024 eff 04.01.23 . Physical Medicine Therapies Codes 2024 - HMSA . Physical and Occupational Therapy and Chiropractic modalities. CPT Code Description 97012 Application of a modality to 1 or more areas; traction, mechanical 97014 Application of a modality to 1 or more areas; electrical stimulation (unattendedState of Hawaii Med-QUEST Division, Clinical Standards Office Department of Human Services DHS 1157 (Rev. 04/14) Page 1 of 3 REFERRAL FOR SERIOUS MENTAL ILLNESS (SMI) COMMUNITY CARE SERVICES (CCS) ... HEALTH PLAN: UNITED HEALTHCARE OHANA ALOHA CARE HMSA KAISER FOUNDATION . PRIMARY DIAGNOSIS ...
HMSA Center @ Pearl City Pearl City Gateway 1132 Kuala St., Suite 400 Monday through Friday, 9am – 7pm Saturday, 9am – 2pm HMSA Center @ Hilo Waiakea Center 303A E. Makaala St. Monday through Friday, 9am – 7pm Saturday, 9am – 2pm HMSA Center @ Kahului Puunene Shopping Center 70 Ho’okele St., Suite 1200 Monday through Friday, …You have three ways to apply for a health plan: Apply Faster Online at https://medical.mybenefits.hawaii.gov. Call Med-QUEST Customer Service: 1-800-316-8005 toll-free TTY users, call 1-855-889-4325 toll-free or 711. Fillable PDF Application. Fill out the application as completely as possible. Print the completed application then mail or fax to ...Most HMSA dental plans allow you to see any dental provider for services, but seeing a dentist in our provider network will help ensure you receive cost-effective, high-quality care. Here are some reasons to visit a provider in our network: Participating providers have a contract with us to provide services at a set fee.Benefits. Prime (MA) YOU PAY. Vision services Medicare-covered vision services. Eye exam to diagnose and treat eye diseases and conditions. $0 (in-network) 40% of the cost (out-of-network) Eyeglasses or contact lenses after Medicare-covered cataract surgery.We believe good health is one of the keys to living the best life possible. That's why we were the first health insurer in Hawaii to provide 100% coverage for wellness and preventive medicine, including annual physical exams, seasonal flu vaccines and a variety of health screenings. Better health leads to a better life.Effective 1/1/22 we created the HMSA Medicare Advantage network. You can verify your current participation status with this network by using our Find a Dentist portal. Simply enter the dentist's name, select "All Islands," and choose the according "Akamai Advantage (Dental)" plan from the drop-down menu under "Select Plan Name.".All providers in this listing are currently accepting new patients. EyeMed Vision Care is HMSA’s vision benefits administrator providing network management. First American Administrators, Inc, provides benefit management and claims processing services. 2024-05-01 1. Eye Q Hawaii LLC 1248 Kinoole St Hilo, HI 96720 808-464-4468 gerinakashima ...
Hawaii QUEST, commonly known as QUEST is a program that provides health coverage through health plans for eligible Hawaii residents. It provides medical and mental health services. Dental services are provided under the Medicaid Fee-For-Service Program. QUEST is administered by the Department of Human Services, Med-QUEST Division and is ...Mail appeals to HMSA Dental, P.O. Box 69437, Harrisburg, PA 17106-9437. 5 w DentalPro News - Dental Care Providers, Facilities, and Staff Spring 2023 Online Provider ResourcesCurrently, the state Department of Human Services (DHS) Med-QUEST Division (MQD) administers health coverage for 285,000 clients, which is an increase of 35 percent since July 2008 when 211,000 people received services. The MQD has begun sending a series of letters to QUEST-ACE and QUEST-Net enrollees informing them of their status. Individuals ...HMSA Akamai Advantage Standard (PPO) is a Medicare Advantage (Part C) Plan by HMSA Akamai Advantage. This page features plan details for 2024 HMSA Akamai Advantage Standard (PPO) H3832 - 007 - 0 available in Hawaii, Kalawao, Kauai and Maui counties. IMPORTANT: This page has been updated with plan and premium data for 2024.Saber-tooth cats are perhaps the most well-known extinct felines. Learn about saber-tooth cats and the behavior patterns of saber-tooth cats. Advertisement It's easy to imagine tha...HMSA Center @ Pearl City Pearl City Gateway 1132 Kuala St., Suite 400 Monday through Friday, 9am - 7pm Saturday, 9am - 2pm HMSA Center @ Hilo Waiakea Center 303A E. Makaala St. Monday through Friday, 9am - 7pm Saturday, 9am - 2pm HMSA Center @ Kahului Puunene Shopping Center 70 Ho'okele St., Suite 1200 Monday through Friday, 9am - 7pmAssurance. HMSA is the only Hawaii insurer to credential dentists to NCQA standards. Benefit Summary HMSA Dental Pediatric Essential A large PPO dental network Our PPO dental plans offer a range of benefits and access to a large network1 that includes over 94% of dentists in Hawaii and more than 100,000 participating providers nationwide.Most HMSA dental plans allow you to see any dental provider for services, but seeing a dentist in our provider network will help ensure you receive cost-effective, high-quality care. Here are some reasons to visit a provider in our network: Participating providers have a contract with us to provide services at a set fee.2023 Health plan information for HMSA Bronze PPO by HMSA. Skip to content. Facts on Health Insurance. Find Health Plans. Get Help from a licensed agent. 1-877-668-0904 ; M-F 9am-10pm, Sat 12pm-8pm EST; ... Dental Check-Up for Children Not Covered: Rehabilitative Speech Therapy Covered: $50.00 :QUEST Integration Benefits. The following are covered benefits under the QUEST Integration. Primary and Acute Care Services. Behavioral Health Services. Additional Behavioral Health Services for Children. Additional Behavioral Health Services for Adults. Long-Term Services and Supports. Primary and Acute Care Services – Physical Health.2024 HMSA PREFERRED PROVIDER DENTAL PLANS This document supersedes all previous benefit tables. Information contained in this document does not guarantee payment. This HMSA PPO Benefit Table is not intended to replace or supersede dental policy or the members' Guide to Benefits. Please go toIf applying to be participating with HMSA QUEST Integration, complete the QUEST Integration Additional Contracting Requirements Form (page Q-1) o. ... 3/1/2022 to …HMSA Center @ Pearl City Pearl City Gateway 1132 Kuala St., Suite 400 Monday through Friday, 9am - 7pm Saturday, 9am - 2pm HMSA Center @ Hilo Waiakea Center 303A E. Makaala St. Monday through Friday, 9am - 7pm Saturday, 9am - 2pm HMSA Center @ Kahului Puunene Shopping Center 70 Ho'okele St., Suite 1200 Monday through Friday, 9am - 7pmHMSA PPO HMSA HMO HMSA Medicare Advantage Finding a Member's Plan On the homepage, under PPO-HMO-Medicare Advantage: Click Eligibility. Enter the Member ID and Member Birth Date . or . the member's last and first name and date of birth. Enter the member ID without the three-letter prefix and the set of zeroes. Example: ForHMSA Dental P.O. Box 69436 Harrisburg, PA 17106-9436 Paper claim Support: 1-800-724-7240 toll-free Learn more about paper claims. To Submit an Out-of-state or Out-of-country Claim* HMSA Dental P.O. Box 1320 Honolulu, HI 96807-1320 *Out-of-state providers may submit the claim on your behalf; please check with your provider. Please submit the ...HMSA QUEST Integration: (808) 948-6486 or 1 (800) ... 2023 • Hawaii Department of Human Services Call Center (p. 6): Contact information and office locations have been …immediately notify the sender by telephone and destroy the original fax message. Quest Cimzia HMSA - 12/2023. CVS Caremark Specialty Programs 2969 Mapunapuna Place Honolulu, HI 96819 Phone: 1-808-254-4414 Fax: 1-866-237-5512 www.caremark.com Page 1 of 10 Quest Cimzia HMSA - Prior Authorization RequestFee Schedules and Benefit Matrices. Fee schedules for HMSA dental PPO and Medicare Advantage plans, and Benefit Matrices for all HMSA dental plans are available on a secure site through the link below. Your Type 1 NPI (Individual and unique to provider) is required for access. A Type 2 NPI (Group/Organization) entered in the login box below ...
About Med-Quest. About Us; Contact Us; News & Updates; Report Fraud, Waste, & Abuse; State of Hawaii. Hawaii.gov; Human Services; Statewide Search; 2021 STATE OF HAWAII MED-QUEST DIVISION ALL RIGHTS RESERVED ...
HMSA Center @ Pearl City Pearl City Gateway 1132 Kuala St., Suite 400 Monday through Friday, 9am – 7pm Saturday, 9am – 2pm HMSA Center @ Hilo Waiakea Center 303A E. Makaala St. Monday through Friday, 9am – 7pm Saturday, 9am – 2pm HMSA Center @ Kahului Puunene Shopping Center 70 Ho’okele St., Suite 1200 Monday through Friday, 9am – 7pm
Each plan offers a balance between the percent of coverage and out-of-pocket costs. All of our plans give your doctor more freedom to decide on the care that’s right for you. Healthcare Basics UHA 3000 (Bundle) UHA One Plan℠ (Bundle) UHA 600 (Bundle) Drug & Vision Plans Drug & Vision Plans Annual Deductible Annual DeductibleCovered Basic Adult Dental Services. We offer the following benefits for eligible adult QUEST Integration members through Hawaii Dental Service (HDS). Other Dental Coverage for Medicaid and Medicare Members. For more information, please contact AlohaCare's Customer Service at 808-973-0712, toll-free 1-877-973-0712, or TTY/TDD 1-877-447-5990 ...Mahjong Quest 2 is a classic tile-matching game that has been around for decades. It’s a great way to pass the time and challenge your mind, but it can be difficult to master. Fort...Dental services generally fall into three categories: Preventive: Most dental plans cover preventive care at 100%. This includes exams, cleanings, and X-rays. With some plans, preventive services for children, such as sealants, are covered at no additional cost. Basic services: Treatment for gum disease, extractions, fillings, and root canals ...Major Dental Care – Child Not Covered: Basic Dental Care – Adult Not Covered: Orthodontia – Adult Not Covered: Major Dental Care – Adult Not Covered: Abortion for Which Public Funding is Prohibited Covered: 50.00% Coinsurance after deductible: 70.00% Coinsurance after deductible: Transplant Covered: No Charge: No Charge: Accidental ...HMSA Center @ Pearl City Pearl City Gateway 1132 Kuala St., Suite 400 Monday through Friday, 9am - 7pm Saturday, 9am - 2pm HMSA Center @ Hilo Waiakea Center 303A E. Makaala St. Monday through Friday, 9am - 7pm Saturday, 9am - 2pm HMSA Center @ Kahului Puunene Shopping Center 70 Ho'okele St., Suite 1200 Monday through Friday, 9am - 7pmSpecialties: Our associates at the HMSA Center in Hilo are available to assist you in-person with buying an individual or small business health plan, finding a doctor, learning about or paying your bill, checking on claims, understanding your benefits, exploring well-being resources, and more. We host Medicare workshops to prepare for retirement and Health Education workshops to improve your ...November 03, 2022 at 5:35 pm EDT. HONOLULU (HI Now) - HMSA's Medicare Advantage Plan's enrollment period is now open through December 7! In 2023, HMSA's Medicare Advantage Plan will be offering a $0 premium plan statewide. This also includes $0 for routine dental check-ups, $0 primary care provider copayments, and $200 annually towards ...
hair salons enterprise alabamaorschelns salesuiuc cs 440orlando tsa wait time Hmsa quest dental 2023 does ashley on maine cabin masters have ms [email protected] & Mobile Support 1-888-750-4939 Domestic Sales 1-800-221-7131 International Sales 1-800-241-7287 Packages 1-800-800-4649 Representatives 1-800-323-4644 Assistance 1-404-209-7563. Dental services necessary to treat a sudden onset and severity of a dental condition that leads to an immediate dental procedure to relieve pain or eliminate infection. Exchange or Health Insurance Marketplace A governmental agency or non-profit entity that meets the applicable standards of 45 C.F.R. § 155 subpart D. xfinity store by comcast branded partner colonial heights photos 2023-24 Reference Guide; 2024-25 EC-1 Form; 2023-24 EC-1 Form; New Hire Enrollment Guide; Pre-Retirement Checklist; View All Forms . Close; HSTA VB Active. ... (HMSA) Hawaii Medical Service Association (HMSA) Active Benefits. Retiree Benefits. Health and Wellness. Contact Information. RESOURCES. Reports;Crowns, also known as dental caps, are designed to look and feel like your natural teeth. They sit directly on top of the healthy part of your tooth to protect it and make it stronger. Your dentist may recommend a crown to: Replace a large filling that's wearing down or leaking. Build up a tooth that's broken or decayed. lowes hourly pay 2022state federal tug of war answer key We review UnitedHealthcare’s dental plans, including coverage benefits, premiums and available plan types. By clicking "TRY IT", I agree to receive newsletters and promotions from ... when is wizard paragon coming out2001 ford f150 lug pattern New Customers Can Take an Extra 30% off. There are a wide variety of options. We’ve talked before about the importance of those regular checkups at the dentist, but the usual biannual dental visit isn’t perfect for everyone. The Wall Street Journal explains ...1(800) 603-4672. Provider Research and Correspondence Written inquiries from HMSA - Customer Relations providers ATTN: Research & Correspondence PO Box 860 Honolulu, HI 96808-0860. 1(800) 603-4672. Provider Data Administration. 1(800) 603-4672. Provider Data Administration.1. table of contents. abbreviations used in this formulary..... 11. drug coverage information ...