To ensure proper delivery of care, you may be asked to complete and return specific forms to Serve You Rx. Below is a list of commonly used forms. To request additional forms (i.e., drug-specific forms), please call 800-759-3203:

Information Update Form
New Prescription Mail-in Order Form
Prescription Transfer Form
Prescription Reimbursement Claim Form
Prior Authorization Form

These forms are in .pdf (Acrobat) format. You can download the latest version of the Acrobat Reader software on Adobe’s website for free.