Healthcare providers, meet Gravie.

You can verify a patient’s eligibility and benefits at any time by using the Eligibility and Benefit Search tool and entering the details from your patient’s Gravie member ID card.

If you are entering your patients information exactly as it is displayed on their Gravie member ID card and are still having issues please contact Gravie Care at (877) 684-3984.

Starting January 1, 2026, Gravie is transitioning our pharmacy benefit manager (PBM) to Express Scripts®, Evernorth’s pharmacy benefit services business — replacing CVS Caremark®.

For prescription needs through December 31, 2025, members and providers should continue to use CVS Caremark for all fills and pharmacy services.

For a full list of covered medications, please reference the following:

• Gravie Express Scripts Formulary 
• Gravie Express Scripts Preventive Medication List

Providers and members can review the formulary to determine if a medication requires prior authorization.

Express Scripts’ prior authorization department is available 24/7.

Submit requests electronically, by phone, or fax (starting January 1, 2026):

• Electronically: Submit a Prior Authorization via Cover My Meds
• Phone: 800.417.1764
• Fax: 877.251.5896

Providers can submit prescriptions to Express Scripts Pharmacy for patients to receive three-month supply deliveries of maintenance medications for the cost of two copays.

Submission options:

1. Electronically (fastest): Send the prescription directly to Express Scripts Pharmacy.
2. Fax: Fax the prescription to 800.837.0959.

Specialty medications are filled through Accredo Specialty Pharmacy. For specialty medications, providers can send prescriptions directly to Accredo or call them at 844.516.3319.

View the list of medications eligible for the SaveOnSP-administered copay assistance benefit here.

Express Scripts
ATTN: Commercial Claims
P.O. Box 14711
Lexington, KY 40512-4711

• Express Scripts: 800.922.1557
• Accredo Specialty Pharmacy: 844.516.3319

For a full list of covered medications, please reference the following:

• Gravie CVS Caremark Formulary
• Gravie CVS Advanced Control Specialty Formulary

For a full list of covered medications, please reference the following: 

• Gravie CVS Caremark Formulary
• Gravie CVS Advanced Control Specialty Formulary

Note: Weight loss and cosmetic medications are excluded from Gravie plans in 2025 unless an employer includes them as a covered benefit. There are also preferred medications and exclusions within the Advanced Control Specialty Formulary.

View the list of medications eligible for the PrudentRx-administered co-pay assistance benefit here.

Providers and members can consult the formulary to see if their drug has a prior authorization requirement.

CVS Caremark’s prior authorization department is open Monday–Friday, 8:00 a.m.–6:00 p.m. CST. 

Submit requests electronically, by phone, or fax:

• Electronically: CoverMyMeds
• Phone: 800.294.5979
• Fax: 888.836.0730

• Pharmacy Help Desk: 800.364.6331
• Prior Authorization Line: 800.294.5979
• Specialty Pharmacy Line: 800.237.2767

For more information on Gravie’s pharmacy benefit program through CVS Caremark, see the Gravie Provider CVS Caremark Handbook.

Follow these instructions to register as a new provider. The Gravie Provider Portal is an online, self-service database available to providers to verify important information about a patient or claim, including:

• Looking up a patient’s eligibility
• Checking the status of a claim
• Updating your provider’s credentials and information, such as tax ID, license number, postal address and more.

Click here to reset your login information. You can use your email address to reset your account.

To update your preferred email address, log in to the Gravie Provider Portal, click PREFERENCES in the upper-right corner of the portal, and update the email address on your profile.

• If you have not previously had a claim paid out by Gravie before, you can call Gravie Care® at (877) 684-3984 to check your claims status. Access to the Gravie Provider Portal is limited to providers who have previously received a paid claim from Gravie.
• If you have previously had a claim paid out by Gravie before, you can check the status of a claim by logging in to the Gravie Provider Portal. Go to the CLAIMS tab and enter the requested information to pull up the claim in the system.

In general, claims take approximately 30 business days from the date of submission to when the payment is processed, though this may vary depending on the details of the claim.

• If you have previously had a claim paid out by Gravie before, you can go to the Gravie Provider Portal to view an updated status of your claim.
• If you have not had a claim paid out by Gravie before, please call our Gravie Care Team at (877) 684-3984 to check your claims status.

This could be for a few reasons. Follow these steps to determine why your claim may have not yet been processed:

• Incorrect Payer ID: It is possible that you are using an outdated Payer ID. Please make sure you are using either GRV01 (Aetna), 62308 (Cigna) as the Payer ID.
• Wrong member info: Please also verify the member’s ID information, as it is possible you are referencing the wrong ID card.
• Less than 30 days: Please keep in mind that claims take approximately 30 days to process. If it’s been fewer than 30 days since you submitted a claim, please recheck the status at a later date.