Mail Order

The prescription drug benefit has a convenient mail-order program through American Diversified Pharmacies (mail order provider through RxAmerica). You can receive a 90-day supply (rather than a 30-day supply) for one co-payment, i.e. three months of a formulatory prescription would cost $20, etc. This is particularly convenient when taking drugs on a regular, long-term basis, such as drugs for high blood pressure, arthritis or diabetes.

To order prescriptions by mail order, follow these steps:

• Ask your doctor to prescribe necessary medications for up to 90-days, plus refills.


• Complete the initial order form, which includes a patient information questionnaire with your first order only.  This allows the mail order pharmacist to make sure you are not taking medications that could conflict with other medications or conditions you have. Be sure to answer all of the questions for yourself and your covered dependents.  To obtain an initial order form and patient information questionnaire, call the Fund Administrative Office. Refills may be called into the mail-order pharmacy at 800-568-2155.


• Send the completed Patient Information Questionnaire and your original prescription(s) to American Diversified Pharmacies using the preaddressed order envelope. Enclose the appropriate co-payment.


• Refills may be called into the mail-order pharmacy at 800-568-2155, American Diversified Pharmacies (mail order provider through RxAmerica). RxAmerica Help Desk: 800-700-8014.

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