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Medicaid Providers

Pharmacy information and tools

Blue Cross and Blue Shield of North Carolina has arranged for IngenioRx to be the pharmacy benefits manager for Healthy Blue members.

Please refer to the Preferred Drug List (PDL) when prescribing for Healthy Blue members. This guide does not contain a complete list of drugs; rather, it lists the preferred drugs within the most commonly prescribed therapeutic categories.

Please note, some medications on the PDL will require you to contact the Healthy Blue Pharmacy Department for authorization.

Prior authorizations by phone:

You can reach Provider Services at 1-844-594-5072 between Monday to Friday from 8 a.m. to 5 p.m. Eastern time.

Prior authorizations by fax:

You can also fax your request to our Pharmacy Department.

Prior authorization forms

Prior Authorization from Availity:

You can also request a pharmacy prior authorization by logging into the Availity Portal:

  1. Log into Availity.com.
  2. From the Availity home page, select Patient Registration from the top navigation.
  3. Select Authorizations.
  4. Select General Pharmacy

Provider tools & resources

Interested in becoming a provider in the Healthy Blue network?

We look forward to working with you to provide quality services to our members.