Pharmacy Services

Our Pharmacy Services

Sonder Comprehensive Formulary

Find all the information you need about your prescriptions in one place. Access and/or download the formulary by following the link below. If you are enrolled in the C-SNP Diabetes Wellness plan, be sure to search the C-SNP Formulary to find all of your 6 Tier drug coverage information.

2023 Standard Formulary 2023 CSNP Formulary

Pharmacy Authorizations

Some Part B drugs require prior authorization. If you need help understanding your options or what those drugs are, we can help!

For information on authorizations/authorizations for Part B Drugs, call Elixir Solutions at (833) 684-7263

You can visit Elixir at www.elixirsolutions.com to contact Elixir via email.

Find a Pharmacy

Follow the link below to find a pharmacy within the Sonder Health Plans network near you.

Find a Pharmacy

Your Over-The-Counter (OTC) Benefit

Find your Over-The-Counter information here

We want you to have your OTC prescriptions and medications when you need then and fast. Find our OTC Catalog and OTC Order Form here for quick look ups and easy orders.

OTC Catalog

Click here for our downloadable OTC Catalog with all of your OTC information.

OTC Catalog

OTC Order Form

Click here for our downloadable OTC Order Form to place orders with Sonder Health Plans. Please follow the directions on the form and if you have any questions, contact Member Services.

OTC Order Form

Exceptions & Coverage Determinations

Exceptions

Exceptions also require coverage determination. There are several types of exceptions you can ask us to make:

You can ask us to cover a drug even if it is not on our formulary.
You can ask us to cover a formulary drug at a lower cost-sharing level.
You can ask us to waive coverage restrictions or limits on your drug.
All exception requests must be supported by a statement by the prescribing physician or other prescriber to demonstrate medical necessity.

Ways to Request a Coverage Determination

CALL: Contact Elixir Solutions at 833-674-6200 (Choose Option 3), 7 days a week 8 a. to 8 pm;
FAX: Download and complete a Coverage Determination form and fax the completed form to 877-503-7231.
MAIL: Mail the completed request form to the plan’s Pharmacy Department address:

Coverage Determination Form

Sonder Health Plans

Attn.: Pharmacy Department
6190 Powers Ferry Road
Suite 320
Atlanta, GA 30339

You may be eligible for more help for your Part D Plan through Low Income Subsidy (LIS) aid. Click here for more LIS information.

Utilization Management Statement.

Sonder Health Plan’s utilization management activities are designed so that they do not provide incentives, financial or otherwise, for the denial, limitation, or discontinuation of covered services by Plan staff or network providers.

Sonder Health Plans, Inc. is an HMO with a Medicare contract. Enrollment in Sonder Health Plans depends on contract renewal.
Discrimination is against the law: Sonder Health Plans, Inc. complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex or religion.

Our Pharmacy Services

Sonder Comprehensive Formulary

Pharmacy Authorizations

Find a Pharmacy

Your Over-The-Counter (OTC) Benefit

Find your Over-The-Counter information here

OTC Catalog

OTC Order Form

Exceptions & Coverage Determinations

Exceptions

Ways to Request a Coverage Determination

Sonder Health Plans

Utilization Management Statement.

Contact Sonder

Quick Links

Member Resources

Member Care Services

Pharmacy Services

Our Pharmacy Services

Sonder Comprehensive Formulary

Pharmacy Authorizations

Find a Pharmacy

Your Over-The-Counter (OTC) Benefit

Find your Over-The-Counter information here

OTC Catalog

OTC Order Form

Exceptions & Coverage Determinations

Exceptions

Ways to Request a Coverage Determination

Sonder Health Plans

Utilization Management ﻿Statement.

Contact Sonder

Quick Links

Member Resources

Member Care Services

Utilization Management Statement.