Welcome to EnvisionR

How to become a Participating Pharmacy in the EnvisionRx Network:

There is a 2 step process described below in order to become a Participating Pharmacy.

1. Enrollment and Credentialing Process:
   • Complete the Independent Pharmacy Enrollment Application.
   • Submit completed application, with all applicable fields populated and requested documents included, via email to providerenrollment@envisionrx.com or by fax 330-405-8094.
     • Please note, completion of an application does not guarantee access into the EnvisionRx Network. Applications submitted without all fields completed or required documents attached will not be processed.
   • Once your completed application is submitted, please allow 10-15 business days for your application and documentation to be processed by our Network Credentialing Team.
   • If you have additional questions or have not received a response within 15 business days, please send an email to providerenrollment@envisionrx.com with “APPLICATION STATUS” in the subject line and please be sure to include:
     • Pharmacy NCPDP number
     • Date of initial Independent Pharmacy Enrollment and Credentialing Application submission and a note of whether it was faxed or emailed
     • Current copy of the pharmacy’s Certificate of Liability Insurance


2. Contracting Process:
   • If your pharmacy passes our credentialing process, a member of the Provider Relations Contracting Team will reach out to you with a Participating Provider Agreement.
   • Once the signed Participating Provider Agreement is submitted back to us, please allow 7 to 10 business days for the Agreement to be executed and implemented.

For all other inquiries, please contact the EnvisionRx Pharmacy Help Desk toll-free at 1-800-361-4542.