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PRIOR AUTHORIZATION REQUEST FORM EOC ID: EIC Prior Authorization Requestr r rPhone: 866-250-2005 Fax back to: 877-503-7231 r ENVISION RX OPTIONS manages the pharmacy drug benefit for your patient.

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EnvisionInsurance is a different kind of company with a different approach to prescription drug benefits. For more than 10 years, our Medicare-approved Part D plans have helped hundreds of thousands of individuals and group retirees nationwide get the medications they need, at a price they can better afford.

In 2015, Rite Aid acquired the privately held EnvisionRx, which includes two small PBMs and some related pharmacy services businesses. The PBM business is now known as Elixir. It operates a specialty pharmacy (Elixir Specialty) and a mail pharmacy (Elixir Mail).

EnvisionInsurance will become the insurance division of Elixir, Elixir Insurance.

An “elixir” is a solution in which medicines are mixed together, evenly distributed within the whole, to craft a cure for a problem. The name, Elixir, was chosen to represent a blending of the businesses and cultures of EnvisionRxOptions' companies, as well as an increased integration with Rite Aid.

The two PBMs came together in 2014 and then became a wholly owned subsidiary of Rite Aid Corporation—one of the nation's leading drug store chains—in 2015.

An EnvisionRx prior authorization form is a document used by a physician when seeking approval for a patient's prescription.

EnvisionInsurance is now Elixir Insurance First time signing in?

Elixir Mail Order Pharmacy | Amwins Rx.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232