Pharmacy Claim Search:
Your prescriptions claims history, including prescription number, date filled, prescriber,
quantity, pharmacy, amount paid by you and amount paid by your pharmacy plan.
Note: To access information about your personal pharmacy claims, you must
register to use My Tracker,
our member self-service center.
Network Pharmacy Search:
Search for a network pharmacy by name, city, state or zip code. Maps and driving
directions are provided.
Your Pharmacy Benefits
Prescription Claim Form (PDF): Printable form in portable document format (PDF).
Prior Authorization Form for Prescription Drugs (PDF)
Mail-Order Drugs: A description of the mail-order option
some employers have chosen for their employees and a link to the mail-order form.
Specialty Drugs: A description of the program that
covers injectable and select oral medications.
Go Generic: Information about
the cost and quality of generic drugs, including:
Note: Your plan's covered drug list may vary from this standard formulary. Call the
Customer Service number on your ID card or consult your group administrator to verify