Pharmacies
Resources for pharmacies in the EHO network.
Join the network, check claim submission requirements, review pricing policies, and file MAC appeals.
Questions about a claim or a patient? Contact the program listed on the patient's identification card. If you're not sure who that is, call us at (800) 650-1817 and we'll point you in the right direction.
Join the network
Join the any willing provider network.
The pharmacy network available to our clients is open to any willing provider. Credentialing takes two steps.
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Complete Part 1 online
It takes 30 to 45 minutes and must be finished in one session, since progress isn't saved.
Start Part 1 (opens in a new tab) -
Upload your documents in Part 2
Within 7 business days, we'll email you a link to Part 2 for supporting documents. If you already have an account, Part 2 appears the next time you log in. Both parts are required.
Pharmacy resources
Forms and manuals.
The documents pharmacies ask us for most often.
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Payer Sheet
NCPDP D.0 requirements for submitting claims electronically.
Download PDF -
MAC Appeals
How to appeal a MAC price, and the response deadlines we follow.
Download PDF -
Prior Authorization Form
For prescribers requesting prior authorization.
Download PDF -
Kentucky Pharmacies
EHO's policy for compliance with KRS 304.17A-162.
Download PDF -
Direct Deposit
Request direct deposit of claim payments, or call us and we'll set it up.
Download request form -
Talk to a person
Live support from our Texas team, 24 hours a day, every day of the year.
Call (800) 650-1817
How the network works
Pharmacy choice belongs to the patient and the client.
EHO does not steer patients, operate closed networks, or mandate mail-order fulfillment.
