Providers for MHS Employee Plan (MMCP and MCHP) Pharmacy

MHS Pharmacy Benefit Manager: Liviniti

Liviniti Standard Formulary: click here

• Liviniti Help Desk / Prior Authorization: 1-800-710-9341
• Liviniti Prior Authorization Fax: 1-318-214-4190

Liviniti General Prior Authorization Form: Click here

• DrugSource, Inc Mail Order Pharmacy: 1-800-854-8764
• DrugSource, inc Mail Order Fax: 1-847-258-1913