Prescription Refund Request

If you were impacted by the recent outage and paid full price for your prescription(s), please follow the instructions below to receive a refund.

Questions? Contact Member Services at (800) 687-0707.

How do I submit for reimbursement?

To submit your reimbursement claim via the member portal:

  1. Capture and save digital files of your receipts and locate your insurance card.
  2. Log in to the Member Portal. If you don’t have an account, you must create one.
  3. Click the Member Reimbursement tile. 
  4. Fill out all fields, and add your receipts as attachments.
  5. Click Submit Claim.

To submit your reimbursement claim via mail:

  1. Fill out and print this form.
  2. Attach a copy of your prescription receipt to the lower portion of the form, or give it to your pharmacist to complete. 
  3. Mail the form to and a copy of the receipts to: 

Member Reimbursement Claims

MaxorPlus

320 S. Polk, Suite 200

Amarillo, Texas 79101

Can I return to my pharmacy to process my prescription?

You can contact your pharmacy by phone or in person and ask them to reprocess your prescription. It is very likely that they are attempting to reprocess already to fill your prescription.
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