Your prescription drug coverage is important to your health. That’s why we’ve designed a quality pharmacy benefit that offers convenient services and many safe, effective, and cost-saving generic drugs to choose from.
Pharmacy benefits are coordinated through our partner, Express Scripts.
Express Scripts Home Delivery Mail-Order Form - Complete this form to have Express Scripts fill your prescriptions by mail.
Health, Allergy & Medication Questionnaire - Complete this questionnaire for all new mail prescriptions to help protect yourself against potentially harmful drug interactions and side effects.
Prescription Drug Reimbursement Form - Apply for reimbursement of your prescription costs.
Secondary Insurance Prescription Drug Claim Form - Complete this form if you have secondary prescription coverage and want to be reimbursed.