• FacebookFacebook
  • InstagramInstagram
  • TwitterTwitter
  • YoutubeYouTube
  • PinterestPinterest
  • English
  • Español
Alliant Health Plans
  • SHOP HEALTH PLANS
  • MEMBERS
  • EMPLOYERS
  • BROKERS
  • PROVIDERS
  • COVID-19 UPDATE
  • LOG IN
    • MEMBERS
    • EMPLOYERS
    • BROKERS
    • PROVIDERS
      • Provider Portal
  • FIND A PROVIDER
    • Provider Network
    • In-Network Pharmacy
Select Page
Pharmacy Resources

Alliant Health Plans values its providers. Please find below helpful resources for all providers servicing AHP’s members.

Magellan Medical Pharmacy Log-In
Need Help?
Magellan Medical Pharmacy Portal Instruction Video
Magellan Rx Portal Quick Start Guide (PDF) 

 

Forms

  • Direct Member Reimbursement Form (PDF)
  • Alliant/MagellanRx Pharmacy Prior Authorization Form (PDF)*

* Do Use this Form for Provider Administered Buy and Bill Medications

Drug List

Effective date: 10/1/2022 to 6/30/2023

  • Generic Smart -Minimum Value Generics (MVG) Drug List
  • Brand Wise- Minimum Value Brand (MVB) Drug List

Effective date on 7/1/2023 to 12/31/2023

  • Generic Smart -Minimum Value Generics (MVG) Drug List
  • Brand Wise- Minimum Value Brand (MVB) Drug List


2023 Plan Year

Alliant/Magellan Rx Precision Formulary (PDF)
Alliant/Magellan Rx Look-Up Tool



2024 Plan Year

Alliant/Magellan Rx Net Results Formulary (PDF)
Alliant/Magellan Rx Look-Up Tool

CareersContact Us About Us Privacy Policy Notice of Privacy Practice Disclaimer Machine Readable Data AccessibilitySite Map

Copyright 2023. Alliant Health Plans, Inc.

Designed by Elegant Themes | Powered by WordPress

  • Member News

    More

    2024 Increase Justification Notice
     

«
»