BlueChoice HealthPlan

group administrators

Pharmacy Mail-order Form

(You will need the Adobe Acrobat Reader to view or print some of the items on this page.)

If your benefit plan allows, this form offers you the convenience of ordering your prescription drugs by mail.

Please print the form and mail with your original, written prescription and payment to:

Caremark
P.O. Box 830070
Birmingham, AL 35282-8488

Pharmacy Mail Order Form



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BlueChoice HealthPlan is a wholly owned subsidiary of BlueCross BlueShield of South Carolina. Both are independent licensees of the Blue Cross and Blue Shield Association.
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