Pharmacy Resources for MDwise Marketplace

The MDwise Marketplace pharmacy benefits are managed by MDwise through its contracted PBM vendor, MedImpact.

A searchable formulary is available by selecting the links below:
MedImpact is responsible for:
  • Processing pharmacy and compound claims.
  • Maintaining the MDwise Marketplace formulary list.
  • Processing prior authorization requests.
  • Auditing pharmacy processes.
  • Providing utilization data and reports to MDwise.
  • Managing specialty pharmacy claims.


Visit our pharmacy forms page for MDwise Marketplace pharmacy forms.

Prior Authorization

  • To request prior authorization over the phone, please call 800.788.2949.
  • To request prior authorization via fax, please fax the appropriate medication request form (MRF), found in the forms section, to MedImpact at 858.790.7100. 

Questions or Concerns?

If you have questions or concerns about MDwise Marketplace pharmacy benefits or MedImpact, please call 844.336.2684.

Pharmacy Documents

MDwise Marketplace Printable Formulary