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If you have an online account, sign inOpens a new website in a new windowOpens a new website in a new window to see if the drugs you’ve been prescribed are covered. If they are, you can request pre-approval for reimbursement by completing the applicable form(s). 

Find out more about drug claims.


Download the form and print it, or fill it out in Adobe Reader XI or higherOpens a new website in a new windowOpens a new website in a new window (not your browser) and save.