• 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.

  • Forms

    Pharmacy Mail-order Form

    Order prescription drugs through the mail from Express Scripts Home Delivery.

    Health, Allergy and Medication Questionnaire

    Complete this questionnaire for all new mail prescriptions to help protect yourself against potentially harmful drug interactions and side effects. Fill out this form and mail it or submit information via our online form.

    Prescription Drug Reimbursement Form

    Apply for reimbursement of your prescription costs.

    Secondary Insurance Drug Claim Form

    Use for secondary reimbursement of your prescription costs balance where Premera is your secondary coverage.