Get Mail Service Order Form - Johns Hopkins Advantage Md

Filling out the Mail Service Order Form for Johns Hopkins Advantage MD is a straightforward process that can be completed online. This guide provides clear instructions to assist you in completing the form accurately and efficiently.

Follow the steps to successfully complete the Mail Service Order Form online.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Enter your ID number if it is not already displayed on the form. Include the prescription plan sponsor or company name in the designated field.
3. Indicate the number of new prescriptions you are mailing in with this form and the number of refill prescriptions. This helps in processing your order.
4. Complete the shipping address section. If you wish to ship to a different address than what is printed above, fill in the last name, first name, street name, apartment or suite number (if applicable), city, state, and ZIP code. Utilize blue or black ink and capital letters for clarity.
5. Provide your daytime and evening phone numbers for contact purposes. This information is important if there are questions regarding your prescriptions.
6. For refills, enter the prescription numbers in the designated spaces. You can list up to eight prescription numbers. Indicate if you prefer to package these prescriptions separately.
7. Provide information about the individuals receiving prescriptions. Fill in necessary details such as names, date of birth, doctor’s name, and contact information. Make sure to indicate any allergies or important health information.
8. If there are additional people receiving prescriptions, indicate that you will complete another form as needed.
9. In the special instructions section, you can add any other details that may be important for your order.
10. Select your preferred payment method by filling in the appropriate oval. Options include electronic check, bill me later, credit or debit card, or check/money order. Make sure to provide the necessary details based on your selected payment option.
11. Review the completed form for accuracy. Once all sections are filled out correctly, save your changes, download the completed form, and print it if needed.
12. Mail the completed form to the specified address: Johns Hopkins Advantage MD, c/o CVS Caremark, PO Box 2110, Pittsburg, PA 15230-2110.

Complete your Mail Service Order Form online now to ensure efficient processing of your prescriptions.