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2013 PCIP Benefits Summary (2013 Spanish-language Benefits Summary)
This piece provides an overview of PCIP benefits for 2013.
2013 PCIP Brochure
This brochure describes the benefits, exclusions, limitations and maximums of the Pre-Existing Condition Insurance Plan for 2013.
Medco By Mail Order Form
PCIP enrollees use this form when mailing new prescriptions to the Medco By Mail pharmacy.
Medco Health, Allergy & Medication Questionnaire (HMQ)
Medco requests that PCIP enrollees complete this form once a year to protect against potentially harmful drug interactions and drug allergies.
Direct Reimbursement Claim Form
PCIP enrollees should use this form to submit prescription receipts when a participating pharmacy is not available.