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Welcome to the MemberHealth/Community CCRx Website for Pharmacists

MemberHealth, LLC is committed to offering only the best service to all of its Community CCRx/SM providers at the lowest possible cost to every patient. Our formulary is designed by an independent committee whose primary concern is patient health and wellness. We understand and respect the important role pharmacists play in healthcare, which is why we collaborate with pharmacists regarding all of our patient health initiatives. Working together to enhance the health and wellness of your patients has proven to be a successful partnership. So successful in fact, that in both 2007 and 2008, Wilson Health Information has ranked MemberHealth Number 1 in customer satisfaction.

Information on Medicare Fraud, Waste, and Abuse

Please view Universal American's Medicare Part D Fraud, Waste and Abuse Training for Pharmacies and Pharmacy Staff.

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Questions on Claim Processing?

Claims processing has changed for 2009. Please view our Troubleshooting Guide for information regarding 2009 claims and for any remaining claims for 2008.

Prior Authorization Tools

Check the status of prior authorizations for your patients.

Radio and On-hold scripts

Radio Script On-hold Script

Have a question?

Call us 24/7 at (866) 684-5395, or Send us email.

MemberHealth is a Prescription Benefits Manager providing administrative service for Medicare plans. MemberHealth is part of the Universal American Corp. family of companies.