Member eligibility & pharmacy

Member eligibility, panel listings and reports

Providers can access real-time member eligibility information, member reports and panel listings from the Availity site. For more information, visit our Member Eligibility and Reports page.

Availity, LLC is an independent company providing administrative support services on behalf of Wellpoint.

Pharmacy information

Complete pharmacy information, including access to formularies, Preferred Drug Lists (PDLs), prior authorization information and other related resources, is available through our Pharmacy Information page.

Benefits partners

We work with several partners to provide our members with quality services. The Benefits Partners page provides links to all of our valued partners.

Provider tools and resources

Log in to Availity
Learn about Availity
Prior authorization lookup tool
Prior authorization requirements
Claims overview
Member eligibility & pharmacy overview
Provider manual and guides
Referrals
Forms
Training Academy
Pharmacy information
Electronic Data Interchange (EDI)

Interested in becoming a provider in our network?

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