Pharmacy Reimbursement

Before leaving the Network Service Area, it is important that you obtain any care, such as routine prescriptions for serious chronic conditions that you know will be needed before you return.
 
In an emergency, where you cannot reach a Plan Pharmacy, you may need to request reimbursement for prescriptions that you have filled and paid for yourself. You will need to complete a claim form for review and approval under the guidelines of your EOC. Pharmacy claim forms are available below or by calling VHP Member Services at 1.888.421.8444 (toll-free).
 
To submit a pharmacy claim, you must provide specific information about the prescription, the reason you are requesting reimbursement, and any proof of payment made by primary insurers. Complete the appropriate claim form and mail it along with the original receipt to:
 
Navitus Health Solutions
Operations Division - Claims
P.O. Box 999
Appleton, WI 54912-0999

Pharmacy ReimbursementForms

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