Eligibility and pharmacy overview
Access pharmacy information, benefits partners, and information pertaining to member eligibility.
Access benefits and pharmacy information
Actual member benefits and eligibility are determined in accordance with the requirements set forth by the state. Providers may submit claims, eligibility inquiries, claim status inquiries, and associated attachments using electronic data interchange (EDI) by being a trading partner (TP) authorized by Ohio Department of Medicaid (ODM) or by contracting with an ODM authorized TP.
Pharmacy information
Pharmacy benefits for enrolled members are managed through the ODM. Visit the Pharmacy information page for details surrounding the single pharmacy benefit manager, clinical criteria for medical injectables, and access to pharmacy resources.
Benefits partners
We work with several partners to provide our members with quality services. The Benefits partners page provides links to all our valued partners.
Interested in becoming a provider in the Anthem network?
We look forward to working with you to provide quality service for our members.