What Evolent Does for Our Members

Specialties Evolent Manages

Contact Express Scripts for Preauthorization for Members Who Are Not Managed by Evolent

Drugs That Require Evolent's Preauthorization

Services Excluded From This Program

Evolent Provider Portal

Training Available for This Program

Preauthorizations Issued Before the Evolent Program Started

Who Should Request Preauthorization?

How To Obtain Preauthorization

Evolent Reviewers and Treatment Guidelines Used

Places of Service Included in the Program

Inpatient Chemotherapy Managed by Express Scripts

Preauthorization Is Not a Payment Guarantee

Grievance and Appeals

What Will Happen if the Physician Does Not Request and Obtain a Preauthorization