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  • Over-the-counter (otc) Prescription Order Form - Insurance ...

Get Over-the-counter (otc) Prescription Order Form - Insurance ...

Over-the-Counter (OTC) Prescription Order Form Make sure to sign and date the order form. For assistance call 1?800?422?4661. Have your order form and 12 digit TASC ID number ready. Please print.

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Click on REGISTER to create your account (you only need to register one time). Login to check your balance, view product images and descriptions. Place your order. Track your order status or manage your account information.

Any unused balance does not roll over to the next month or quarter. Online: Sign in or register for Humana Pharmacy, and select Over-the-Counter (OTC) Items under Shop Products to see a list of products. Fax: Fill out the Health and Wellness Products Order Form and fax only the order form pages to: 1-800-379-7617.

You can use your OTC card for covered items at participating local retailers, including: CVS. Walgreens. Duane Reade.

You can use your OTC prepaid benefits card to purchase approved or covered OTC items in a retail store. You cannot use your card on a retail store's website. (You can, however, purchase from the DrugSource website for your plan. )

To place online orders through the OTC (Over the Counter and Diabetic Supplies) System you must be an active member and register through the Member Portal. The Member Portal is a central destination for all information related to your health, benefits, providers, claims and medication.

REPLACING YOUR OTC CARD A replacement card will be mailed to you within 7-10 business days. Once you receive your new OTC card, activate your card by calling 1 888 682 2400 and enter your Card Number and your ArchCare Advantage Member ID when prompted.

You can order on line from the Wellcare website www.wellcare.com/medicare. Order using the Interactive Voice Response system (IVR). Just call the number that is on the back of your ID card.

When you've made your choices, we have a couple of ways for you to place your order: Call us toll-free. We are here to help Monday Friday, 7 a.m. to 7 p.m. Customer Service:1-866-231-1821(TTY 1-877-247-6272) Option 1: You can use our automated phone service to place your order.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232