New users must submit a Patient Profile Form :

Printer Friendly Forms  to mail in:       Patient Profile Form

Online Forms                                             Patient Profile Form Online

 

Users who have already submitted the Patient Profile Form may order refills by mail or online.

Printer Friendly Forms to mail in:         Prescription Request Form 

Online Forms                                              Prescription Request Form Online

 

How can this program benefit me?

If you take medication on a long-term, regular basis, this program is for you!  Your prescriptions will be delivered BY MAIL, postage paid, right to your home.  No standing in the pharmacy line again!  You will receive an ample supply of your medication instead of the smaller supply available through your current Prescription Drug Plan.  This will save you several trips to the pharmacy.

Do I qualify for prescription refills with Prescription Mart?

If you currently are eligible for Prescription Drug Benefits, you and your covered dependents may order prescription drugs from Prescription Mart.  The medications covered by the Mail Service Prescription Program are the same as your present Prescription Drug Plan.
You'll receive generic medications when available.  Generics are approved by the FDA and are as safe, potent and effective as their brand name counterparts.
Cold Pack items require special handling and will be shipped only at patient's expense.  We recommend you get these items locally, but we can accommodate these needs at your expense if you wish.  Please advise us on these items each time you order.

How do I receive my medication?

Mail Service is quick, safe and reliable!  You will receive your medication at your home via U.S. Mail or United Parcel Service usually within 10 to 14 working days from the date you mail your order or order online.  Your prescription is triple checked by licensed pharmacists and screened against your personal medical history for your protection.
What if I have a question about this service or my prescription?
Pharmacists and Friendly Customer Service personnel are only a toll-free call away.  1-800-713-1230.
Customer Service Hours (Central Time) Monday - Friday 8:00 a.m. to 5:00 p.m.

How do I order?

Before leaving your doctors office:
If you need medication on a long-term, regular basis (called maintenance medication), ask your doctor to prescribe an ample supply.
Make sure your doctor writes the prescription for the maximum quantity your company will allow, so you will get the most allowed by your benefit.  We must fill prescriptions as they are written to be dispensed.
Discuss generics.  Ask your doctor to prescribe generic medication whenever possible.  Prescription Mart will automatically fill your order with an approved generic drug, if one is available, unless your doctor states your prescription must be "dispensed as written" (DAW).
If you must take your medication immediately, ask your doctor for two prescription - one for a 14 day supply to be filled at your local pharmacy.  Mail the second prescription to Prescription Mart.
If you already have a prescription, call your physician for a new (second) prescription.  Then simply mail it to us.
Check the prescription to be sure it clearly shows your doctor's name and address, exact dosage and patient's name.  Please print patient's name and date of birth on the back of each prescription.
Prescription Mart will accept a personal check, money order or major credit card.  Remember to complete the Patient Profile Form and Prescription Request Form and enclose them with the appropriate co-payment and original prescription(s) in the return reply envelope.  DO NOT SEND CASH.  If using VISA, MasterCard or Discover, please include your card number and expiration date with your order.
Prescription Mart will process your order and ship it to you, along with ordering instructions and forms for refills and/or new prescriptions.