For Providers

Welcome to the SmithRx Provider Resource Center.

Here you’ll find all the contact information, forms, and procedures you’ll need to help our shared patients.

SmithRx Provider
Support Info:
Patients: Find documents and forms specific to your plan by logging in here.

Mail Order

Mail Order Form

SmithRx accepts prescriptions for up to a 90-day supply through mail order. Our dedicated Customer Support Team is available to help with mail order related issues around the clock.

Contact us at:

Phone: (800) 424-5894
Email: help@smithrx.com

Mail Order Prescriptions

Providers can prescribe to Magellan Rx by e-prescribing or faxing to (888) 282-1349. Upon sending the new prescription, please direct the member to call (800) 424-5894 in order to confirm with Magellan Rx.

Specialty Medications

Specialty Enrollment Form

Our dedicated Customer Support Team is available to help with specialty drug related issues around the clock.

Contact us at:

Phone: (800) 424-5894
Email: help@smithrx.com

Specialty Medication Prescriptions

Providers can prescribe to Magellan Rx by e-prescribing or faxing to (888) 364-2673. Upon sending the new prescription, please direct the member to call (800) 424-5894 in order to confirm with Magellan Rx.

Documents & Forms

SmithRx Formularies

Standard Formulary*
*The standard formulary may differ from your customized formulary. Please contact us at (844) 454-0123 if you need help accessing your customized formulary.

Utilization Management

Prior Authorization Request Form*
*You can also access our prior authorization form via CoverMyMeds

Prior Authorization List*
*May differ based on customized formularies

Step Therapy List

State-Specific Prior Authorization Forms