Medicaid and Commercial Limited Specialty Pharmacy Network
Starting January 1, 2023, Neighborhood’s Specialty Pharmacy Network for our Medicaid and Commercial members will be the following three Specialty Pharmacies:
- Care New England Specialty Pharmacy
- Phone: 855-981-1908
- Address: 455 Toll Gate Road, Warwick, RI, 02886
- CVS Specialty Pharmacy (Multiple locations)
- Phone: 401-421-1555
- Address: 2 Dudley Street, Suite 170, Providence, RI, 02905
- Lifespan Specialty Pharmacy
- Phone: 401-444-9909
- Address: 117 Chapman Street, Suite 200, Providence, RI, 02905
Limited Distribution Drugs not available at Care New England Specialty Pharmacy, CVS Specialty Pharmacy, and/or Lifespan Specialty Pharmacy can continue to be filled at the member’s current Specialty Pharmacy.
Evolent Health – Oncology/Hematology Requests
- Evolent Health Portal
- Evolent Health Phone: 888-999-7713
- Oncology Fax Line: 1-213-596-3783*
- Oncology eFax Email Address: efax-carepro-oncology@newcenturyhealth.com
- Radiation Oncology Fax Line: 1-714-494-8366*
- Radiation Oncology Email Address: efax-carepro-radonco@newcenturyhealth.com
Prior Authorization Information
For the quickest way to request a Prior Authorization (PA), please use CoverMyMeds and complete the request form. It is free and easy to get started:
1. Register for a free account.
2. Select and complete any PA request.
3. Press “Send to Plan” and receive a determination.
Please note that some PA requests may receive an automated response while others may require additional clinical information from the prescriber. Please check CoverMyMeds to view the status of your PA request and/or provide additional information required to complete the request.
- For more information about Neighborhood’s Formulary/Pharmaceutical Management Procedures, or any other Pharmacy documents, contact Neighborhood Member Services at 1-800-459-6019.
Helpful Links
24-hour Pharmacies in Neighborhood’s network
2023 Pharmacy Resources
- 2021/2022 State Supplied Influenza Vaccine Update
- Neighborhood Site of Care Policy Appendix
- Visit the Policies and Guidelines webpage to find Pharmacy Billing Guidelines and Payment Policies