First Fill Program

The First Fill Program allows a pharmacy to dispense medication immediately to a worker while ensuring payment to the pharmacy. Under this program:

  • Date of first fill must be within 30 days of date of injury
  • A pharmacy must contact Envolve Pharmacy Solutions with the following information:
    • Patient’s name (first and last)
    • Date of birth
    • Social Security Number (SSN)
      • Must use the actual patient’s SSN
    • Date of injury
    • Employer’s name
  • Workers are allowed one first fill every six months, regardless the number of claims filed
  • Not all medications are covered. This includes any medication that requires a prior authorization (PA). For a complete list see Formulary/Medication Restrictions.
  • A pharmacy receives payment for the initial prescription of seven days, not to exceed a total of $100

For further assistance on the First Fill Program, please contact Envolve Pharmacy Solutions Help Desk at 844-895-0395.