Members
Please see below for important information.
Members
Member Services: 844-750-9012
Mail Order Website
To enroll and order refills online, access your mail order history and view valuable articles and news.
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Mail Order Enrollment Form
This form should accompany your initial prescription order, or you may choose to enroll online at the Mail Order website.
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Formulary
Click the “Formulary” link to review the most commonly prescribed medications, along with their associated tiers. Please note that your benefit plan must cover a medication for its tier level to apply.
Formulary
Direct Reimbursement Form
If you purchased a covered medication without the use of your pharmacy benefit card or at a non-participating pharmacy, you may be eligible for a reimbursement.
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