IMPORTANT! Are you enrolled in Med-QUEST? Has your contact information changed in the past two years?

Please update your contact information with us so you can stay enrolled. Call Med-QUEST at 1-800-316-8005 or log in to your account here to make the change. Mahalo!

Formulary

 Important Notice

AlohaCare is pleased to announce that effective January 1, 2022, IngenioRx is our new Medicare PBM partner.

Please remind members to show their new member ID cards to their pharmacy. To avoid potential disruption in services at the pharmacy, please provide a copy of the attached new billing information to your AlohaCare Medicare patients. We have notified the pharmacies of these changes.

New AlohaCare Advantage Plus (Medicare) Pharmacy Billing Information:

RXBIN: 020388 | RXPCN: IRXMEDD | RXGRP: RX42AD

Member ID Format: 15 digits, alphanumeric

Person Code: 2 digits, append to Member ID

 

For members without a new AlohaCare Medicare ID card, please advise the pharmacy to submit an E1 transaction to receive updated eligibility information. If after submitting an E11 transaction additional assistance is still needed, the pharmacy may contact IngenioRx Pharmacy Help Desk at 1-833-409-1225.

 

AlohaCare Advantage Plus (SNP) Formulary

Pharmacy Clinical Programs and Services

Pharmacy Network

To find out if a pharmacy works with AlohaCare, use our online Provider Finder or download the Provider Directory found on the Member Documents page.

 

Pharmacy Billing Information

 

General Resources & Contact Information

Pharmacy benefit (pharmacy  dispensed drugs) prior authorization requests & status inquiries

IngenioRx Pharmacy Services (Prescribers Only)

  • Phone: 1-833-293-0661
  • Fax: 1-844-521-6938
  • Hours: 24 hours, 7 days a week 
Claims processing or overrides

IngenioRx Medicaid Pharmacy Help Desk (Pharmacies Only)

  • Phone Number: 1-833-409-1225
  • Hours: 24 hours, 7 days a week 
Medical benefit (physician administered drugs) prior authorization request & status inquiries 

  AlohaCare Provider Customer Service