(800) 460-8988: Pharmacy Services Department

Quick answer

Pharmacy services department line that routes provider calls about prior authorization, coverage determination, Medicare hospice or alternative medications (1), Medicaid health plan members (2), peer-to-peer reviews (3), and all other calls (4).

Call observed . Partially mapped — deeper menu options still being called. Phone menus can change.

Line at a glance

Department
Pharmacy services
Answered by
Automated phone menu
How to respond
Keypad
Supported languages
English

Shortcuts and conditional instructions

What the line says

Transcribed from the calls observed . Caller identifiers are masked.

Greeting · 48 s

your pharmacist are calling from a pharmacy, press 1. For all other callers, remain on the line for further menu options. Thank you for calling the pharmacy services department. For training purposes, calls will be monitored and recorded for quality assurance. If you are a provider and calling to initiate or check status of a prior authorization, coverage determination, Medicare hospice related call, or calling to request alternative medications, please dial 1 now. If you are calling in reference to a Medicaid health plan member, please dial 2 now. To request a peer-to-peer review, please dial 3 now. For all other calls, please dial 4 now.

More questions about (800) 460-8988 (3)
Which key handles prior authorizations?

The menu says a provider starting or checking a prior authorization, coverage determination, Medicare hospice call, or alternative medication request should press 1.

Which key handles Medicaid members?

The menu says to press 2 for a call about a Medicaid health plan member.

Which key requests a peer-to-peer review?

Press 3 to request a peer-to-peer review.

Disclaimer

The information provided on this page is for general informational purposes only and does not constitute billing, coding, or reimbursement advice. Nothing on this page should be relied upon as a substitute for clinician assessment, professional billing guidance, or as a definitive statement of any payor's billing requirements or policies.

Payor agreements, fee schedules, and billing policies vary and are subject to change. Before submitting any claims related to maternity care services, including claims affected by the 2027 CPT code revisions, please consult the applicable payor agreements, coverage policies, and billing guidelines to confirm current requirements for their specific payor contracts.

Substrate makes no representation or warranty regarding the accuracy, completeness, or timeliness of the payor-specific information presented here. Providers are solely responsible for ensuring that all claims are submitted in accordance with applicable payor requirements, and Substrate assumes no liability for claim denials, underpayments, or other adverse outcomes arising from reliance on this information.