Get Medco By Mail Order Form - Millersville

This guide provides a step-by-step approach to completing the Medco By Mail Order Form for Millersville. By following these instructions, you will ensure that all necessary information is accurately filled in, facilitating a smooth ordering process.

Follow the steps to fill out the form correctly.

1. Click ‘Get Form’ button to access the MEDCO By Mail Order Form for Millersville.
2. Provide your member information in the designated fields. Verify your Member ID and Group number. Select whether you wish to receive email notices about your prescription status and indicate your email address.
3. If there is a new shipping address, fill in the name, street address, city, state, and ZIP code. Provide both daytime and evening phone numbers for contact.
4. Complete the patient/doctor information section by filling out separate entries for each person requesting a prescription. Include their first and last names, birth date, sex, relationship to the member, doctor's last name, initial, and phone number.
5. Indicate the number of prescriptions being sent with this order. Select your payment options, choosing between e-check, check, money order, or credit card. If paying by credit card, fill in the credit card number, expiration date, and provide a signature.
6. If you are requesting expedited shipping, indicate this option and confirm the additional fee. Remember, this does not expedite prescription processing.
7. Review the health, allergy, and medication questionnaire. Ensure that you provide any pertinent information that may affect prescription needs.
8. Gather all necessary documents to send along with your form: prescriptions or refill slips, completed order form, health questionnaire, and payment details.
9. Mail the completed form and supporting documents using a business-size envelope, ensuring not to use staples or paper clips. Confirm the address provided on the form for submissions.
10. Once all steps are complete, save any changes made to the form and prepare it for delivery. You may download, print, or share the form as needed.

Begin filling out your MEDCO By Mail Order Form online today to ensure your prescriptions are processed promptly.