Provider Information
- 2025 Provider Manual
- Participating Providers
- Participating Pharmacies
- Model of Care Training and Attestation
- 2025 Provider Quick Reference Guide (North Carolina Advantage Plan)
- 2025 Provider Quick Reference Guide (North Carolina Community Plan)
- 2025 Provider Quick Reference Guide (North Carolina Essential Plan)
- Provider Information Update
- 2025 Provider Coverage Determination Form
Medical Information and Authorization

Pharmacy Materials
Formulary 2025
- 2025 Comprehensive Formulary (Prescription Drugs)
(last updated 3/1/2025) - 2025 Comprehensive Formulary (Prescription Drugs) (Spanish)
(last updated 3/1/2025) - 2025 Prior Authorization Criteria
(last updated 3/1/2025) - 2025 Step Therapy Criteria
(last updated 3/1/2025)
Member Benefit Information
- 2025 Advantage Plan Summary of Benefits
(contains multi-language insert) - 2025 Community Plan Summary of Benefits
(contains multi-language insert) - 2025 Essential Plan Summary of Benefits
(contains multi-language insert)
Page Last Updated: 03/01/2025