Pharmacy

North Dakota Workforce Safety & Insurance (WSI) contracts with Envolve Pharmacy Solutions, a national pharmacy benefit management company, to process pharmacy charges. This partnership allows access to over 65,000 pharmacies, nationwide, while providing an efficient process for the pharmacies. Use the Pharmacy Locator to find a participating pharmacy. Please note the Group Number 8001 must be used in the search criteria.

A pharmacy filling a medication must submit charges electronically to Envolve Pharmacy Solutions. To contract with Envolve Pharmacy Solutions, contact them by fax (for contract requests) at 866-912-6293 or email  pharmacycontracts@envolvehealth.com. For questions on pharmacy contracts, call Envolve's Pharmacy Networks Department at 559-244-3717 or 800-460-8988 and ask to be transferred to Pharmacy Networks Department.

To ensure proper processing please use the following:

BIN Number: 008019
Rx Group Number: 8001
ID Number: SSN or WSI Claim Number 

 

Resource

Service Guide for Pharmacists - outlines when to contact Envolve Pharmacy Solutions or WSI
Pharmacy Quick Reference Sheet - explains online messages received at the point-of-sale

 

Durable Medical Equipment

For Durable Medical Equipment (DME) or supply items (i.e. gauze, tape etc.); submit charges to WSI in paper format or electronically in the CMS 1500 format. WSI does not directly reimburse an injured worker for medications, DME or supply items.

 

Provider Dispensing

WSI reimburses for medications dispensed directly from a provider's medical clinic when billed electronically to our current PBM, Envolve Pharmacy Solutions.  WSI does not directly reimburse a provider or an injured worker for medications.