IQVIA Benefits Handbook
HOW TO FILE CLAIMS
Network Pharmacy
You do not need to submit a claim form to receive benefits when you use a network pharmacy. The pharmacy will submit claims on your behalf. However, if you do not have your ID card at a network pharmacy, you will have to pay 100% of the cost for the prescription and then file a claim form for reimbursement. The plan will reimburse you for the submitted amount less the applicable copay/coinsurance. You can call Express Scripts or Kaiser to get your plan information while you are at the pharmacy if you don't have your ID card. Order forms are available at www.express-scripts.com or https://healthy.kaiserpermanente.org/ or by calling Express Scripts at 866-790-8276 or Kaiser at 800-464-4000.