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Good Afternoon
2:34:38 PM CDT
Saturday, April 19, 2014

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Pharmacy Benefit Management

Topics First Fill Program Forms & Publications Service Guide for Pharmacists
Pharmacy Overview Sign Up Process Prior Authorization Form (M3) Quick Reference Sheet
US Script Pharmacy Fee Schedule Formulary/Product Resrictions Brand Medication Prior Authorization Form (P2)
Plan Benefits Generic Dispensing Drug Quantity Limits Relistor Prior Authorization Form (P3)
Plan Design First Fill Product Restrictions DAW1 Policy Statement
    Sample Narcotic Contract  

Sign-Up Process
To join the US Script network for Workforce Safety & Insurance, contact US Script directly at 1-800-460-8988 option #2. They will fax or email a contract to you to expedite the set-up process.

To ensure proper processing please use the following:

  • BIN # 008019
  • PCN # USS
  • Group # 8001

Typically activation can be done the same day.

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