Resources

Serving Pharmacies & Prescribers Nationwide

Find the pharmacy or prescriber resources below:

Pharmacy Resources Prescriber Resources

Pharmacy Satisfaction Survey

Please take a moment to complete our Pharmacy Satisfaction Survey. This will only take a brief moment to complete, and your response will be kept confidential.

Take Survey
Pharmacy Resources

Pharmacy Processing Information

Are you a pharmacy? Please reference the resources below.

Payer Sheets

Pharmacy Manual

Join our network

Interested in joining MedOne's Pharmacy Network?

Please provide the following information in an email request to: providerrelations@medone-rx.com

Information to include in your email request to join our network:

  • NABP or NPI #
  • Pharmacy Name
  • Primary Contact Name
  • Primary Contact Email Address
  • Primary Contact Phone Number

Once your request has been received, our provider relations team will respond in 1-3 business days and provide a pharmacy network agreement for review.

If you have any questions about this process or for all other inquiries, Please contact the MedOne Provider Relations department at providerrelations@medone-rx.com.

Pricing & payment inquiries

Are you a pharmacy? Please reference the resources below.

Mac Appeals & Pricing Inquires

To submit a MAC appeal, please download the form below and send the completed version to pricinginquiry@medone-rx.com.

DATA FIELDS

Please include the following fields in your MAC appeal:

  • Appeal Date
  • Contact Name
  • Email Address
  • Date Filled (MM/DD/YYYY)
  • RX Number (Text)
  • BIN (Text)
  • PCN (Text)
  • NCPDP (Text)
  • Pharmacy Name (Text)
  • NDC (Text)
  • GPI 14 (Text)
  • Quantity (General)
  • Acquisition Cost/Unit (General)
  • Invoice # (Text) – Can be provided but not needed in most instances.

APPEAL SUBMISSION

Email subject should include the name of the Pharmacy appealing as well as the date the appeal is being submitted. 
(Ex: [Pharmacy] MAC Appeals MM-DD-YYYY”)

SINGLE DRUG APPEALS

If your appeal is for a single drug, please include the Rx Number.

All Appeals should be filed within 90 days of the Fill Date and contain all the requested information with cell type in parentheses, to be processed.

Appeals will be processed in the order in which they are received and responded to within 7 business days. Expect a message from pricinginquiry@medone-rx.com with the result including a reason for approval/denial/or alternative. 

If you disagree with an appeals decision, you can file a second appeal by including the invoice, and it will be handled in the same cadence as the original appeal.

Pharmacy Payment Inquiries

Questions about a recent payment to your pharmacy?

Please reach out to our team at paymentinquiries@medone-rx.com. In your request, please include the following information so we can best assist you:

  • Pharmacy Name
  • Pharmacy NAPB and/or NPI
  • Payment Date
  • Payment Amount
  • Rx Numbers (if applicable)

Download Pricing Inquiry Form

Electronic Payments & Remittances

Interested in receiving electronic payments and remittances? Complete the following forms and return them via fax (563-588-8725) or email to providerrelations@medone-rx.com

Download ACH Form

Download 835 Form

Please note that in order to receive electronic payments via ACH, you must also be enrolled in electronic remittances.

If you are not enrolled in electronic payments or remittances, you will receive paper checks and remittances.

Please contact providerrelations@medone-rx.com with any questions.