PRESCRIPTION BENEFIT
EPO Zero Copay Plan
Using your Prescription Drug Card at Retail Pharmacies • Please present your new prescription card along with your prescription to any of our 60,000+ retail pharmacies every time you fill your prescription. Getting a 90-Day Supply of Your Prescriptions • If you are prescribed a 90-day prescription for maintenance medications (e.g. long- term conditions like arthritis, asthma, diabetes, high blood pressure or high cholesterol), you can fill your prescription at retail pharmacies or through mail service. Getting started with Walmart mail service: • Prior to your first fill by mail, please call 1-800-236-7563 or mail a completed order form to 1025 W. Trinity Mills, Carrollton TX, 75006 . This form can be downloaded at www.walmart.com/homedelivery . Choose one of the following options to submit your prescription: • E-prescribe: Have you doctor e-prescribe to Walmart Pharmacy Mail Order 2625 • Fax: Have your doctor fax your prescription to 1-800-406-8976 . Faxed prescriptions may only be sent by a doctor’s office and must include patient information and diagnosis for timely processing. • Mail: Mail Capital Rx your prescription and completed order form to 1025 W. Trinity Mills, Carrollton TX, 75006. Capital Rx Member Help Desk is available 24 hours a day, 7 days a week at 1-855-227-7928. You may also download their new digital app! Search “Capital Rx” on the app store to download.
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MEDICAL PLAN I
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