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If you cannot find an answer to your question here, feel free to Contact Us.
| 1. How can I check if my pharmacy is part of the Serve You pharmacy network? |
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Click on the Pharmacy Network search and enter your zip code or city and state to determine whether you are a provider in our national network. If your pharmacy is not currently contracted, you may request a provider agreement by filling out a request form under the menu item, Forms.
Pharmacy Network » |
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| 2. How can I contact customer service? |
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Physicians and providers can call our toll-free number at 1-800-759-3203 or send a fax to 414-410-8181. Serve You’s Customer Service hours are:
Monday - Friday 7:30 am - 9:00 pm Central Standard Time
Saturday 8:00 am - 6:00 pm Central Standard Time
Sunday 9:00 am - 3:00 pm Central Standard Time
Serve you is open 364 days a year, closed Christmas Day, with reduced hours on other major holidays.
Pharmacies with questions regarding network participation or contracts may also email us at provider_relations@serve-you-rx.com. |
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| 3. How do I determine the tier status of drugs on the Serve You Formulary? |
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Please refer to our Serve You Tiered or Open Formularies to determine the tier status of a specific medication. The Formulary Alternative Guides list Tier 1 and Tier 2 alternatives to more costly Tier 3 medications in many common therapeutic categories. Recent Formulary Changes contains a list of recent changes that have been made to the Serve You Formulary. All of these documents can be found under the menu choice, Formulary. Physicians may also look up formulary information on Epocrates.
Formulary » |
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| 4. How do I get a Prior Authorization form? |
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| Upon determination that a prescription requires a Prior Authorization, typically the pharmacy or physician office contacts Member & Provider Services to obtain the appropriate form. Should a standard Prior Authorization form be required, it can be obtained by clicking here or calling Member & Provider Services at 1-800-759-3203. Please note: This is a "standard" Prior Authorization form. Depending on your benefit plan, a more specific Prior Authorization form may be required. |
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| 6. How long does it take to get a Prior Authorization Review? |
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| Prior authorizations are typically reviewed within 24 hours of receipt. For those authorizations needing a more extensive clinical review, the turnaround time may be up to two business days. |
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| 7. What do I do if I get a Drug Utilization Review reject? |
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| First step is to review the messaging provided via the on-line system. If additional information is needed or to request an override, please contact Member & Provider Services at 1-800-759-3203. A representative will discuss the DUR with you and if an override is deemed appropriate, an authorization will be entered and the claim approved either as a one time override or an extended period, depending on the drugs and circumstances involved. |
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| 8. What do I do if I get a rejected claim after hours? |
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| Member & Provider Services will assist the pharmacy in resolving claim rejections and should be contacted at 1-800-759-3203 during normal hours of operation. For emergency situations, we recommend the dispensing pharmacist use their best professional judgement in providing the patient with the necessary amount of medication needed while the claim is being resolved. |
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| 9. What is Serve You’s BIN/PCN ? |
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| Serve You’s BIN is 001553. The PCN is SERVU. If it is a workers’ compensation claim, the BIN is 610548 and the PCN is 3WC. A group number is also required and can be found on the member ID card. |
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