Provider Resources
Supporting the Providers Who Support Our Members
Thank you for visiting our Provider Resource page. This area is designed to assist you with quickly finding information regarding the SlateRx Pharmacy Benefit Management Program. We are committed to improving our member and provider service offerings and welcome your feedback, suggestions, and concerns.
Coverage Determination
and Prior Authorization
Help manage costs, control misuse and protect patient safety to ensure the best possible therapeutic outcomes.
Prescribers can contact SlateRx to request drug-specific criteria.
Additional Resources
SlateRx Drug Lists
The following are lists of the most commonly prescribed medications. They represent an abbreviated version of the drug list (formulary) that is at the core of each prescription-drug benefit plan. These lists are not all-inclusive and do not guarantee coverage. In addition to drugs on these lists, the majority of generic medications are covered and members are encouraged to ask their doctor to prescribe generic drugs whenever appropriate.
Benefit plan designs, coverage determinations, copay amounts, and other plan-specific details may vary by plan. For the most accurate information about your prescription drug coverage, please refer to your annual benefit enrollment materials or log in to your member portal.
State-Specific Resources
Iowa
Prescription Medication Coverage Request Form
Tennessee
Initial Appeals Process (Reimbursement) 0780-01-95
The initial appeal process is available for all prescription drugs or devices in Tennessee for which a pharmacy alleges it did not receive its actual cost. The pharmacy must file an initial appeal within seven (7) business days of claim submission for reimbursement. Upon receipt of all required information, SlateRx will review and make a final determination within (7) seven business days. If SlateRx fails to comply with applicable timing and notice requirements, initial appeal shall be resolved in favor of the pharmacy. If a pharmacy fails to comply with applicable timing requirements, SlateRx may deny the initial appeal. Pharmacy is required to submit the name and contact information of the wholesaler or manufacturer from which the pharmacy purchased the drug or medical product or device.
TN Pharmacy Reimbursement Appeal Form can be found here.
Provider Feedback
If you are a participating pharmacy or provider with feedback or questions related to pharmacy network participation or would like to submit a pricing appeal, complaint or dispute, please contact SlateRx at ProviderRelations@Slate-Rx.com or 1-888-915-9135.
If you are a participating pharmacy or provider with feedback, questions or a complaint related to SlateRx benefits, eligibility, or formulary information, please contact SlateRx at Legal@Slate-Rx.com or 1-888-915-9135.
To complete our online prescriber survey, please click here.
Additional Provider Support Links
Please note that by clicking these links, you will be leaving slate-rx.com
- Research Drug Interaction Information
- Search Medical Encyclopedia
- Find Drug News, Articles and Updates
- Find Recall and Drug Safety Information
- See New Product Approvals
- FDA Hot Topics
- Find the Latest Information About Diseases
- Learn About Prevention and Treatment Options for Medical Conditions
- Learn About Clinical Trials in Investigational Drugs
- Sharps Safety Information
Reporting
In-Network Provider NADAC Reports
Georgia
Contact Us
SlateRx Clinical Services Department
Phone Number: 833-789-9236
Hours of Operation:
Monday — Friday 9am-9pm ET
Saturday & Sunday 9am-1pm ET
Coverage Determination Fax Number:
866-351-1617
Appeal Fax Number: 866-306-4892
Address to Send Appeals:
SlateRx
Attn: Appeals Department
P.O. Box 608
Hudson, OH 44236
