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For Providers

Welcome to the SmithRx Provider Resource Center.

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

Mail Order

SmithRx accepts prescriptions for up to a 90-day supply at 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: support@smithrx.com

Contact us at:

Mail-order prescriptions are processed by fax at (888) 282-1349 or via e-prescribing. Upon sending the new prescription, please direct the member to call (800) 424-5894 in order to have the prescription filled.

Specialty Medications

Download the Specialty Order 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: support@smithrx.com

Prescribing for Specialty Medications

Specialty medications are processed by fax at (888) 364-2673 or via e-prescribing. Upon sending the new prescription, please direct the member to call (800) 424-5894 in order to have the prescription filled.

Documents & Form

SmithRx Standard Formulary

Standard Formulary PDF*

*May differ from customized formularies

Utilization Management

PA Request Form

You can also access and submit our PA form via CoverMyMeds

Prior Authorization List

Step Therapy List