Mail-Order Drug Benefit

Your time is valuable. With our mail-service prescription drug program, you can get your prescriptions delivered by mail directly to your home in plain, tamper-evident packaging. When you order by mail, you can get up to a 90-day supply of medication for one low copayment — with no claim forms to file and no waiting for reimbursement! And you'll receive the medication, in the right amount, at the right cost and the right time.

Getting Started

Get a written prescription from your doctor for up to a three-month supply of your medication, with three refills, if appropriate. If you are presently taking medication, ask your doctor for a new prescription.

Print and complete the mail service order. Mail the completed form, your original prescription(s) and copayment(s) to the address listed at the bottom of the form. You can pay by check, money order, MasterCard, Visa, Discover or American Express.

Our mail service will process your order and send your medication to you via U.S. mail or Federal Express, along with instructions for future refills, if you have any. Please allow up to 14 days for delivery from the time you mail your order.