When receiving services from a lab, specialty pharmacy, or durable medical equipment (DME) provider, it is important to make sure that the provider is in network in the location where you are receiving services.
- A laboratory must be in network in the state where the referring provider is located.
- A specialty pharmacy must be in network in the state where the ordering physician is located.
- A DME provider must be in network in the state from which supplies are shipped or the state in which the retail store is located.
Some in-network labs, specialty pharmacies, or DME providers may be located in another state or many miles away from the referring provider, ordering physician, or location where DME supplies are shipped.
For a listing of these providers, you can search through the online directory using the provider type search. Or, for additional assistance, call the customer service number listed on your member ID card.
Prior to receiving services, please confirm with the provider that they are in-network in the state where you are receiving services.