Your prescription drug coverage is important to your health. That’s why we’ve designed a quality pharmacy benefit that offers convenient services and many safe, effective, and cost-saving generic drugs to choose from.
Pharmacy benefits are coordinated through our partner, Express Scripts, Inc.
Express Scripts Home Delivery Mail-order form
Order prescription drugs through the mail from Express Scripts Home Delivery.
Health, Allergy and Medication Questionnaire
Complete this questionnaire for all new mail prescriptions to help protect yourself against potentially harmful drug interactions and side effects. Fill out this form and mail it or submit information via our online form.
Prescription drug reimbursement form
If you didn't have your LifeWise card with you when you filled a prescription and paid full price, you can request reimbursement.
Oral Chemotherapy Reimbursement form
This form is only to be used for plans that do not have out-of-network prescription coverage.
LifeWise members have many different drug benefit options with our plans. Learn more about how your drug benefits work.
Create an account with Express Scripts to manage your LifeWise pharmacy benefits.