Get Medco Prescription By Mail Application - Hartford

Filling out the Medco Prescription By Mail Application can be a straightforward process when guided correctly. This guide will provide you with clear instructions to successfully complete the application online.

Follow the steps to complete the Medco Prescription By Mail Application.

1. Press the ‘Get Form’ button to access the application form and open it in the appropriate editor.
2. Begin by entering the required customer information. This includes verifying existing details or providing new information in the customer information section. Ensure that you include your subscriber number, Rx group number, and any updated shipping address.
3. Next, provide patient and doctor information. Complete a section for each individual that has a prescription. Make sure to include their first name, last name, birth date, gender, and the relationship to the subscriber.
4. After providing patient details, include the doctor’s name and phone number for each patient listed. If there are multiple prescriptions from different doctors, ensure to complete a separate section for each doctor.
5. Proceed to the order completion section. Indicate your preferred payment method, selecting from e-check, check, money order, or credit card. Fill in the necessary payment details, including the credit card number and expiration date if applicable.
6. If you would like expedited shipping, opt for the rush shipping option. Note that this charges an additional fee for faster mailing.
7. Once all the information has been entered, review the form for accuracy. Ensure that all mandatory fields are completed and correct any errors if necessary.
8. Finally, save your changes, then proceed to download, print, or share the completed form as needed before mailing it to the designated address.

Begin filling out your Medco Prescription By Mail Application online to ensure your medication is processed smoothly.