Pharmacy Information

While SIHO currently integrates with several Pharmacy Benefit Managers (PBMs), our preferred partner is MedImpact Health Care System, Inc. If you have a MedImpact logo on your ID card you can utilize the links and forms below.

• MedImpact Pharmacy Directory
• MedImpact MedPerform Formulary
• MedImpact Portfolio Formulary
• MedImpact Mail Order Form
• MedImpact Prescription Member Claim Form

• Note: all SIHO groups with MedImpact utilize the
  Portfolio Formulary except for the following:
• SIHO Employees: MedImpact MedPerform Formulary
• SIHO Fully Insured Members: MedImpact MedPerform Formulary