Medco Tips

· For efficient processing of prescription COB reimbursement claims, please closely follow the steps illustrated below.

1. Complete the “Member Information” section using the correct ID number. Your group number is EMIARXD. 2. Complete the “Patient Information” and the “Pharmacy Information” sections. You must complete a separate form for each pharmacy used and for each patient. The pharmacist's signature is only required if you check the ‘Yes’ box. 3. Sign the form.
		4. Tape pharmacy receipts to the back of the form. 5. u Check ‘Yes’ for “Coordination of Benefits” u Check ‘Secondary’ u Check ‘#2. Card Program’ if your prescription was filled at a retail pharmacy u Or check ‘#4. Mail Service’ if your prescription was filled by mail order u DO NOT CHECK ‘#1. MAJOR MEDICAL’ OR ‘#3. HMO’ 6. Mail COB forms to the address printed on the back.

· Make sure the pharmacy receipts you attach to the COB form have the following information: full name of the patient, NDC number and/or drug name and strength, Rx number, date of service, quantity of drug, total day supply of the drug, and member copayment.

· Send completed COB forms to Medco. Do not mail to Educators.

· To inquire about or to receive prescription preauthorizations, call
800-662-5851or 801-262-7475.

· For further questions regarding your prescription drug benefits, call Medco toll-free at 800-316-9176.