SevaRx is committed to building strong relationships with our pharmacy network. Whether you’re an existing partner or interested in joining, this page provides the resources you need to work efficiently and stay informed.
For Pharmacies
For Pharmacies
Tools, Forms, and Support for Our Pharmacy Partners
Whether you're a current or prospective partner, this page offers the tools and info you need to stay connected and efficient.
SevaRx Payer Sheet
Access the latest SevaRx payer sheet for claims processing and adjudication details.
Pharmacy Change Request
Need to update your pharmacy’s contact information, NPI, or service details? Submit a change request here.
Pharmacy Manual
Review our operational guidelines, claims procedures, and compliance standards for participating pharmacies.
Prior Authorization Form
Use this form to initiate a prior authorization request for a member’s medication.
SevaRx Appeal Form
Submit an appeal related to a denied claim or coverage decision.
Join Our Network
Interested in becoming a SevaRx network pharmacy? We’re actively expanding and welcome quality partners.
Contract or Rate Information
Request contract terms, reimbursement rates, or network participation details.
Filing an Appeal
Learn more about the appeal process, timelines, and documentation requirements.
© 2025 SevaRx. All rights reserved.