How to get Copies of the Drug Claim Form

The drug claim form is available to you in a variety of ways. You can print the Prescription Reimbursement Claim Form online. You can also request copies by mail or in person.

To print the claim form:

  • Log onto My Account.
  • Hover over Drugs and click Order drugs online. You’ll be directed to a CVS Caremark web page.
  • Click Forms for print and choose the appropriate form from the Paper Claims Reimbursement Forms section.

To request that the claim form be mailed to you:

To request the claim form in person:

  • Visit an HMSA office to pick up claim forms.
  • CVS Caremark provides pharmacy benefit management services and manages HMSA’s drug formulary for HMSA’s commercial, Medicare, and QUEST programs. CVS Caremark is an independent company.