Skip to main content

Request a Printed Directory

Get your provider and/or pharmacy list

Complete the form below. You can find your member number on your ID card. Enter the first 9 numbers only. All fields marked with an asterisk (*) are required.

-
-
-
-

If you aren’t yet a member, you can still search our online directory and print specific pages.

Search our directory now 

This is for Internal customer service use only

 

 


       Y0001_4006_10829 Approved 10/27/2017
       Page last updated: Tue Jan 28 19:25:17 UTC 2020