Pharmacy
HMSA's Select and Choice Drug Formulary and Coverage Codes
View the current Select and Choice drug formulary and coverage codes
Immunizations at Point of Sale
Learn about immunizations at point of sale, including pharmacy administration, billing requirements, coverage guidelines, and claims processing.
Information for Pharmacies
Access information for pharmacies, including billing guidelines, formulary details, and processes to support accurate prescription claims and services.
Information for Providers
Access information for providers, including billing guidelines, policies, resources, and tools to support quality care and accurate claims processing.
Injectable Drugs - General Information
Learn about injectable drugs, including billing guidelines, administration units, service dates, and payment policies for outpatient services.
Injectable Drugs Coding
Learn injectable drugs coding guidelines, including revenue and procedure code combinations, billing requirements, and correct coding practices to support claims processing.
Injectable Drugs J Codes
Learn guidelines for injectable drug J‑codes, including proper use of J3490, NDC reporting requirements, and billing practices to support accurate claims processing.
Lost or Stolen Prescriptions
Learn what to do if your prescription is lost or stolen, including replacement options, coverage details, and steps to get your medication quickly.
Mail-Order Prescription Drug Program
Overview of the mail-order prescription drug program, including home delivery of maintenance medications and supporting forms and resources.