For Physicians & Pharmacies We are here to assist you in expediting information regarding benefit, plan, and member detail. Name of Member/Patient Physician/Pharmacy Fax Number Message Name of Physician/Pharmacy Provider/Pharmacy Phone Number 12 + 1 = Submit DISCLAIMER: By entering your number and submitting this form, you agree to receive mobile alert messages. Hours M-F: 8am - 5pm EST Phone/Text (833) 233-1818 Email [email protected] Fax 586-200-0008