Pharmacy
Explore Highmark's formularies and pharmacy programs.
Pharmacy Information
Explore Highmark's pharmacy and formulary services, tools, and guides.
Pharmacy Programs
Highmark pharmacy programs provide financial assistance for the purchase of eligible prescription medications.
Formulary
The Highmark Drug Formulary is a list of FDA-approved prescription drugs reviewed by our Committee. The formulary is designed to optimize quality of care and contain costs.
Obtaining Authorization
Find out how to submit for prior authorization.
Pharmacy Authorization Forms
If you're submitting for prior authorization via Fax, find the forms you'll need here.
Pharmacy Policy Search
National Drug Code (NDC) Information
View Highmark's list of procedure codes that require NDC information to be reported on claims.
Support
Availity Portal
Have questions about Availity? Get help with portal actions or navigation, registration, access, error messages, and more.
Authorization Workflows
Need help with authorization workflows? If an authorization number is not appearing, you're unable to locate a member, or have questions about clinical criteria screen, email us.
Authorization Status
To check the status of submitted authorizations:
1. Use the Predictal Auth Automation Hub within Highmark’s Payer Spaces in Availity.
2. If you can't find what you need in Availity, call Highmark Clinical Services and press 2 for authorizations.
Additional Help
Provider Service Center
Can't find an answer? Call us: 8 a.m. to 5 p.m. EST, Monday through Friday.
Clinical Services
Still have questions? Call us: 8:30 a.m. to 7 p.m. Monday through Friday, 8:30 a.m. to 4:30 p.m. Saturday and Sunday.
