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Anthem Rx mail service pharmacy benefits Anthem Rx customer care refill

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Anthem Rx mail service pharmacy benefits Anthem Rx customer care  refill Powered By Docstoc
					Mail Service
                                                                                  How to use your mail
                                      Anthem Rx mail service                      service pharmacy benefit
                                      pharmacy benefits                           Placing first time orders:
                                      If you regularly use any maintenance        1. Contact your physician for a new
                                      medication for hormone replacement or a         prescription written for your
                                      condition such as asthma, diabetes, high        maximum allowable days' supply.
                                      blood pressure or arthritis, you'll         2. Complete the enclosed easy order
                                      appreciate the convenience and savings of       form.
                                                                                  3. Send the original prescription, the
                                      having your prescriptions filled by the
                                                                                      completed order form and appropriate
                                      Anthem Rx mail service pharmacy.                copayment in the envelope provided.
                                      Anthem Rx is a state-of-the-art pharmacy    Remember: Always have your physician
                                      service that can accommodate 8,000          write your maintenance prescriptions for
                                      prescriptions each day.                     the maximum allowable days' supply for
                                                                                  your mail service benefit.
                                                                                  Transferring a prescription from a
                                                                                  retail pharmacy:
                                      Make fewer trips to the                     1. Have your prescription label(s) and
                                      pharmacy                                       credit card (MasterCard, Visa or
                                     Ordering maintenance medications                Discover Card) ready.
                                     through Anthem Rx eliminates monthly         2. Call this special toll-free number,
trips to the pharmacy because your doctor can write your prescriptions for your      (888) 61 3-6091, Monday through
                                                                                     Friday, 8 a.m. to 6 p.m. Eastern time.
maximum allowable days' supply. (90 days) Your prescriptions can then be
                                                                                     3. A customer care professional will
ordered through Anthem Rx mail service and delivered directly to your home,          obtain all necessary information and
office or anywhere in the United States.                                             guide you through the process, quickly
                                                                                     and easily.
Once your prescriptions are entered into the mail service system, you can use
the Anthem Rx 24-hour automated phone line to order refills and check order       Getting refills of prescriptions filled
status.                                                                           by Anthem Rx:
                                                                                  1. Have your prescription label(s) ready.
                                                                                  2. Call (800) 962-8192 for personal
Save on copayments                                                                   service or to use the 24-hour
Anthem Rx mail service provides more days' supply with fewer copayments.             automated phone line.
                                                                                  3. To use the automated phone line,
You'll typically save at least one copayment on each prescription filled by the
                                                                                     press 3.
Anthem Rx mail service pharmacy.                                                  a) When asked, enter the seven-digit
                                                                                     number from your prescription label.
At Anthem Rx, your prescription orders are filled by registered pharmacists       b) Enter a credit card number you have
who dispense federally approved, A-rated generic equivalent medications for          previously used with Anthem Rx.
brand-name medications unless your physician directs otherwise. This helps        c) Wait to confirm the refill, then repeat
save you money while providing quality, effective drug therapy.                      step a) if you need additional refills.

                                                                                  How to get answers to your
Anthem Rx customer care: (800) 962-8192                                           prescription benefit questions:
                                                                                  1. Have your policy ID number ready.
For additional information about your prescription benefits, you may call an
                                                                                  2. Call (800) 962-8192 and press 2 for
Anthem Rx customer care professional at (800) 962-8192 Monday through                order status.
Friday, 9 a.m. to 11 p.m., or on Saturday from 9 a.m. to 5 p.m. Eastern time.     3. You can press 0 to talk directly to a
                                                                                     customer care professional.

                                                                                  Please allow 10 business days to receive
                                                                                  all mail service order

P-569 (8/99)
                                                                                  Independent Licensees of the Blue Cross and Blue Shield Association.
                                                                                  Registered marks Blue Cross and Blue Shield Association.
 Anthem Rx
 Prescription Order Form                                                                                                                Customer Service
 Anthem Prescription Management, Inc.                                                                                                                (800) 962-8192
 P.O. Box 746000                                                                                                                        Mon.- Fri. 9 am - 11 pm EST
 Cincinnati, Ohio 45274-6000                                     Fold in thirds and mail in envelope                                           Sat. 9am - 5 pm EST

 For refills, it is only necessary to fill out the top portion of this form.
 Ship to:
 Policy holder's name                                                  Policy holder ID #                       Phone # (day)                  Phone # (evening)



 Street


 City                                                                  State                                                            Zip code


 Payment information (make check or money order payable to Anthem Rx or apply to your credit card)
    VISA         MasterCard        Discover      Credit card #                                                                          Exp. Date
                                                                                                                                     Mon.                Yr.
 Total amount due $                              Please sign for credit card order                              Do you want childproof caps used?         Yes      No


 Please use the order form for all orders: Refill Prescription Orders
 Refill number                                           Patient name                                           Medication names



 Refill numbers                                          Patient name                                           Medication names


 Anthem Rx pharmacist will dispense federally approved, cost-saving generic equivalent drugs for brand-name drugs unless your physician directs otherwise.

                    TO REORDER                                                                                       TO REORDER
                    PLACE REFILL LABEL HERE                                                                          PLACE REFILL LABEL HERE


                    TO REORDER                                                                                       TO REORDER
                    PLACE REFILL LABEL HERE                                                                          PLACE REFILL LABEL HERE

 New prescription orders (complete this form when enclosing new prescriptions -- one entry per patient).
 Name of patient for whom the prescription is enclosed             Date of birth                                   Sex                         Relationship

                                                                                                                         Male                       Self
 Have you taken this medication before?          Yes         No                                                          Female                     Spouse
                                                                                                                                                    Child
 Doctor(s) name(s)                                                 Doctor(s) phone numbers(s)                      Drug allergies/health conditions


 Doctor(s) name(s)                                                 Doctor(s) phone numbers(s)                      Drug allergies/health conditions


 Name of patient for whom the prescription is enclosed             Date of birth                                   Sex                         Relationship

                                                                                                                         Male                       Self
 Have you taken this medication before?          Yes          No                                                         Female                     Spouse
                                                                                                                                                    Child
 Doctor(s) name(s)                                                 Doctor(s) phone numbers(s)                      Drug allergies/health conditions


 Doctor(s) name(s)                                                 Doctor(s) phone numbers(s)                      Drug allergies/health conditions


Having difficulty filling out this form? Call our special Anthem Rx Helpline, (888) 613-6091, to have a customer care professional guide you through the process.

				
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Description: Anthem Rx mail service pharmacy benefits Anthem Rx customer care refill