CLAIMS AND APPEALS

The Prescription Drug Program

You do not need claim forms when visiting a participating pharmacy. Simply present your ID card and your prescription to the pharmacist. When you present a prescription to a pharmacy to be filled under the terms of this Plan, that request is not considered a claim under these procedures. However, if your request for a prescription is denied in whole or in part, you may file a claim under these procedures.

Also, if you obtain a prescription from an Out-of-Network pharmacy and you wish to request reimbursement, you will require a claim form. See here.