Skip To Main Content

Main Content

Forms Library

Please select a state to help us provide you with your customer support information.

Existing member should Log in to access your information

Not Registered? Register Now

Pharmacy
Document NameTypeDownload
Home Delivery Pharmacy Order Form – Log in to Express Scripts’ website  
Prescription Drug Claim Form – Log in to Express Scripts’ website  
UniCare Formulary Condensed VersionPDFDownload
UniCare Formulary Updates OutcomesPDFDownload
UniCare YourChoiceRx FormularyPDFDownload
UniCare Specialty Drug ListPDFDownload

Member Log In


Useful Tools

  • Find a Doctor

    Go
  • Prescription Benefits

  • Check Claim Status

    *Required Field:
    *
    Can't remember your claim number? View Claims

Do not have Adobe Reader?

Select from list of states to access Forms Library

Please select a state to help us provide you with your customer support information.

Existing member should Log in to access your information

Not Registered? Register Now