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Mail Order Program

Ambetter from Health Net Mail Order Pharmacy, administered by Express Scripts® Pharmacy effective January 1, 2024, offers the convenience of home delivery for most of your maintenance prescription drugs.

Only maintenance prescription drugs covered by your pharmacy benefits may be filled through the mail order pharmacy (Express Scripts® Pharmacy). Prescriptions for drugs or supplies that are not covered will be returned unfilled. Some drugs may not be available through the mail order pharmacy. Contact us for more information.

The mail order pharmacy should be used only for maintenance drugs, i.e. drugs needed for a long-term condition. Antibiotics for infections and painkillers for pain due to injury are examples of drugs for short-term conditions that should not be obtained from the mail order pharmacy.

Use the mail order pharmacy only to obtain drugs you have previously received. All first-time prescriptions should be filled at a participating pharmacy. This will ensure the appropriate dose has been determined and your ability to tolerate the drug has been established.

Take these steps to use the mail order pharmacy:

  1. View the Express Scripts® Pharmacy website or call 833-750-0836 OR use the following Express Scripts® Pharmacy mail order form(s).
  2. Complete pages of the Mail Order Pharmacy Form.
  3. Mail the completed Mail Order Pharmacy Form with your original prescription(s) (no photocopies) and payment or credit card number for your copayment(s) or coinsurance to the address listed on the form.

Please contact us 14 days before you need your prescription or refill to make sure your next order is shipped to you in time. Typically, you should expect to receive your prescription drugs within 10 days from the time that the mail order pharmacy receives the order. If you do not receive your prescription drug(s) within this time, please contact us.

New prescriptions on or after January 1, 2024

For new prescriptions on or after January 1, 2024, you may do one of the following:

  • Ask your doctor to electronically send or fax a new prescription to Express Scripts® Pharmacy. Your doctor can fax Express Scripts® Pharmacy at 1-800-837-0959. This number is for provider fax use only.
  • Go online. Register or sign in and have your member ID number ready. Follow the guided steps to request a prescription. Once Express Scripts has your information, they will contact your doctor for approval of your prescription.
  • Call Express Scripts® Pharmacy at 1-833-750-0836 (TTY: 711). Express Scripts® Pharmacy can contact your doctor for a new maintenance medication prescription to be filled at mail order.
  • Mail a home delivery order form. To get a copy of the form, register or log in to Express Scripts®. Go to the Benefit Menu, click Forms, and download the Home Delivery Order Form. Complete the form and mail it with your original paper prescription to:

    Express Scripts® Pharmacy
    P.O. Box 66773
    St. Louis, MO 63166-6301

Refills on or after January 1, 2024

Refills on or after January 1, 2024, may be requested using Express Scripts® Pharmacy:

  1. Online. Visit Express Scripts®. From there you can enter your information to request a refill. Just enter your date of birth and prescription number(s), which should be on your current medication bottle(s).
  2. By phone. Call 1-833-750-0836 (TTY: 711). There is a 24-hour automated refill system or you can speak to a representative who can help. Be sure to have your member ID and prescription refill numbers ready when you call.
  3. By mail. Complete a home delivery order form. To get a copy of the form, register or log in at Express Scripts®. Go to the Benefit Menu, click Forms, and download the Home Delivery Order Form. Complete the form and mail it with your paper prescription to Express Scripts® Pharmacy.

Mail order pharmacy benefits vary from plan to plan. Check your plan documents or contact us for information about your mail order copays.

You are also eligible to obtain up to a 90-day supply of maintenance medication from a contracted retail pharmacy.

If you have questions about your order, please call Express Scripts® pharmacy at 833-750-0836. TTY users may call 711. For questions about your pharmacy benefits, drug coverage, copayments, or coinsurance, contact us.