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Reimbursement
Need to submit a form for a prescription drug reimbursement or file an appeal for denied coverage?
Reimbursement Form
Formulario de reembolso
Drug Exception
If you need a prescription for a medication that is normally not covered under your plan, you may ask for an exception to your plan’s prescription drug coverage.
Exception Form
Release of Information Form
Authorize Scripius to share your prescription information with a designated individual.
Release of Information Form