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Medco Mail Order Forms

Effective January 14, 2008, Medco will replace Express Scripts, Inc. (ESI). as the mail order provider for HIP Medicare members.

If you are a member who currently uses ESI for mail order prescription drug service, your prescription refills, if available, will now be transferred to Medco.

Please note, however, that while your prescriptions will be transferred, beginning January 14, 2008, you must  take action to continue to receive your prescriptions:

Transfering Prescriptions
Visit www.medcohealth.com and register on this secure web site. You will need your member ID number and a recent ESI prescription number. All covered household members 18 and over should register as well. At this website, you will be able to:

NOTE: The documents available on this page are Adobe® PDF files. To view and print these documents, your computer must have the Adobe® Reader® installed. If you do not have this program, you may obtain a FREE version by clicking on the icon above.

 

  • View outstanding ESI refills
  • Order refills
  • Fill new prescriptions and more.

You may also

  • Call Medco at 1-800-457-1020. Have your ESI prescription number handy when you call.
  • Fill out and mail this form, affixing your refill slip
    if you have one, to Medco.
NOTE: Prescriptions for some controlled substances and compound medications cannot be transferred.
You will need to obtain a new prescription from your doctor for them. There also may be times when the transfer process will not be successful and you will need to request a new prescription from your doctor. If you request a refill that cannot be transferred, Medco will notify you.

Getting Started With a New Prescription By Mail
If you have a prescription for a new maintenance medication, it is easy to get started with Medco by mail. Simply fill out and mail your prescription from the order form below, or ask your doctor to call 1-888-327-9791 for faxing instructions. Only doctors may fax prescriptions.
1199 National Benefit Fund

How to Receive Refills
For refills, call our automated refill system at 1-800-4REFILL (1-800-473-3455). Members who register at www.medcohealth.com may order online by clicking "Order Center." Your medication will usually be delivered within eight days after Medco receives your first order. You may receive refills even faster.

Questions and Assistance

  • If you have questions about or need assistance with your mail order services, please call Medco at 1-800-457-1020 anytime, day or night.
  • If you have a hearing or speech impairment and use a TDD, call 1-800-759-1089.
  • For questions about your prescription services, please call HIP Customer Service at 1-800-HIP-TALK (1-800-447-8255), Monday through Friday, 8 am to 6 pm.
  • If you have a hearing or speech impairment and use a TDD, call 1-888-HIP-4TDD (1-888-447-4833), Monday through Friday, 8:30 am to 5 pm.
  • For a complete list of Frequently Asked Questions click here
  • To help us provide your prescription drug benefit program, please fill out the Health Allergy & Medication Questionnaire

Member Letters