Pharmacy Services 2024

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.

Medication Therapy Management (MTM) Program

Find a Pharmacy

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

Exceptions & Coverage Determinations

Exceptions

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

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:

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 Managment 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.