Supporting the providers
who power patient care
Alluma is proud to partner with the full spectrum of care providers—from pharmacists and physicians to clinical staff—who work every day to ensure patients receive the medications they need. As a provider-led, provider-focused pharmacy benefit manager developed by Vizient and Mayo Clinic, we deliver a transparent, clinically aligned model that simplifies pharmacy benefit navigation and maximizes value for both care teams and their organizations.
Helping providers through pharmacy benefit integration
Efficient Prior Authorization support
Our electronic prior authorization (ePA) program integrates directly with prescribers' electronic health record (EHR) systems, facilitating a more efficient authorization process. Benefits include:
- Increased Efficiency: Accelerated prior authorization approvals.
- Reduced Administrative Load: Minimization of manual paperwork.
- Enhanced Patient Adherence: Decrease in prescription abandonment rates.
These services are provided at no cost to providers, ensuring that you can focus more on patient care and less on administrative tasks.
Prior Authorization submission
Alluma recognizes the complexity and burden that Prior Authorization places on providers and their patients. Our simple yet flexible approach includes:
Electronic prior authorizations (ePA) allows Alluma to deliver clinically sound coverage decisions quickly by connecting electronic health record (EHR) systems to Alluma’s prior authorization systems. The benefits of ePA include:
- Increased efficiency
- Decreased administrative burden for providers
- Improved medication adherence
- Access at no cost to the healthcare provider
Prior Authorization training
For help with CoverMyMeds, click here.
The American Medical Association (AMA) wants to help bring ePA awareness to physician practices. Leverage the AMA's video series to educate your staff about the power and the advantages of ePA.
Nationwide pharmacy network
Alluma supports a nationwide pharmacy network that may include health system–based pharmacies, specialty pharmacies and mail-order services. Pharmacy access and prescription fulfillment are determined by each member’s specific health plan and benefit design.
Pharmacies, if you would like to be added to the Alluma pharmacy provider network
Please contact our network partner, Express Scripts, by email at networkcompliance@express-scripts.com.
FORMULARIES
Alluma formularies
PROVIDER RESOURCES
Provider forms and other resources
Provider forms
Other resources
Provider support
Pharmacy-related inquiries should be addressed through established pharmacy workflows and plan-designated clinical support channels. Providers should continue to use CoverMyMeds for prior authorization submission and status inquiries.
If additional assistance is required after using appropriate pharmacy support channels, providers may contact us for further guidance.