PHYSICIANS

At FairosRx, we are here to help.

PRIOR AUTHORIZATIONS

Prior authorizations (PAs) can be submitted by completing the FairosRx Prior Authorization Request Form and faxing it to 866-816-2136. For assistance submitting a prior authorization or for questions, please contact FairosRx at 833-464-9600. We are available from 7:00am to 9:00pm CST Monday through Friday and Saturday and Sunday from 9:00am to 5:00pm CST.

 

MAIL ORDER

WellDyneRx is our mail order pharmacy partner. Prescriptions can be ePrescribed or faxed to 877-221-1259.

 

For assistance in submitting a mail order prescription to WellDyneRx, please call 833-464-9600.

 

SPECIALTY MEDICATIONS

Access the FairosRx Specialty and Limited Access Drug List here.

 

For assistance or questions about specialty medications, please call 833-464-9600.

PHARMACISTS

At FairosRx, we are here to help.

CLAIMS PROCESSING INFORMATION

To process a pharmacy claim, use the following information:

 

RxBIN: 021841

 

RxPCN: 18000405

 

If you need assistance processing a pharmacy claim, please contact our pharmacy help desk at 833-464-9600. We are available 24 hours a day, seven days a week.

 

 

MAC OR PRICING APPEAL INFORMATION

To initiate a MAC or pricing appeal, please click here.

 

TN Claims: The initial appeal process is availble for all prescription drugs

or devices for which a pharmacy alleges it did not receive its actual cost.

 

 

Frequently Asked Questions

Find quick answers and helpful resources about how Fairos works, your healthcare experience, and member support.

Still Have Questions?

What is FairosRx?

FairosRx delivers flexible pharmacy benefit solutions tailored to employers, brokers, and consultants.

What is FairosRx?

FairosRx delivers flexible pharmacy benefit solutions tailored to employers, brokers, and consultants.

What is FairosRx?

FairosRx delivers flexible pharmacy benefit solutions tailored to employers, brokers, and consultants.

Contact Us Today!