Expanding Pharmacy Network for Affordable Medications
SmithRx Pharmacy Portal
Access the MAC List Lookup tool, forms, and documents such as state-specific manuals, MAC appeal form, and NADAC reports.
Forms And Documents
Access resources, manuals, documents or forms associated with network participation.
Forms & Documents
Electronic Funds Transfer (EFT) And Electronic Remittance Advice (ERA) Enrollment Form
Payer Sheet
Provider Manual
Reimbursement And MAC Appeal Form
State-Specific
State-Specific Forms & Docs
State-Specific Reports
We’re Here to Help
Have an immediate question about eligibility? We have a team of experts ready to help.
Our Network is Growing
We are constantly expanding our partnerships with independent pharmacies to improve access to affordable medications. By joining forces, we strengthen our collective ability to deliver exceptional, affordable care to every community. Our network includes more than 56,000 pharmacies across the country.
SmithRx is on a mission to reduce the complexity and costs of pharmacy benefits with radical transparency and cutting-edge technology.