Member Forms

Reimbursement

Need to submit a form for a prescription drug reimbursement or file an appeal for denied coverage?

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

Scripius is revolutionizing the pharmacy benefits management industry with cost-shielding strategies that stop runaway drug prices from draining customers’ bottom line and members' wallets.

Coverage

Resources

Member Forms

Reimbursement

Drug Exception

Release of Information Form

Links

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Member Forms

Reimbursement

Drug Exception

Release of Information Form

Links