Patient Information

Resources and Information

Drug Benefit Information

Step Therapy Physician Fax Form

Prescription Claim Form

Usually, when you visit an NWPS network pharmacy, the pharmacy takes care of all the paperwork for you and submits the claim to us electronically. However, in rare circumstances, this may not have been possible. Use the claim form provided here to submit prescription claims to us for which you paid the full amount.

Mail Order Service

Our mail pharmacy service program has two goals: 1) delivering timely quality pharmaceutical care to our customers, and 2) maximizing the plan sponsor’s bottom-line savings. Our clients appreciate the seamless data integration with the retail and mail service programs, which allows for critical Point-of-Service reviews and Drug Utilization review monitoring. Members appreciate the convenience of free home delivery and flexibility.