Mail Order Pharmacy

FutureScripts mail order service is a convenient and cost-effective way for you to order up to a 90-day supply of maintenance or long-term medication for delivery to your home, office or location of your choosing. In addition to the ease of ordering from home, plan participants may also save money. When filling long-term and maintenance medications through the FutureScripts mail order program, participants may receive an extended supply of their drugs for a lower copay.

Please login to the FutureScripts member website to access the mail order form. Please note that completion of this form is not a guarantee of benefit coverage.

* If this is your first time using the FutureScripts mail order service, please note you must also complete a confidential Health, Allergy, and Medication Questionnaire (HMQ), and mail it to the address listed on the form. To help us protect you against potentially harmful drug interactions and drug allergies, it’s important that you complete this form the first time you use your mail order service and any time you have a change in health status or medication use. Be sure to indicate any non-prescription (over-the-counter) medications you may be taking.