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Hershey Medical Center Outpatient Pharmacy For Information visit our Website at: www.pennstatehershey.org/pharmacy Phone: (717) 531-3909 Fax: (717) 531-0110 EMPLOYEE PREFERRED PRESCRIPTION DRUG PROGRAM
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How to fill out employee preferred prescription drug

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How to fill out employee preferred prescription drug:

01
Obtain the necessary form from your employer or HR department. This form is typically referred to as the "Employee Preferred Prescription Drug Form."
02
Start by providing your personal information, such as your full name, date of birth, and employee identification number. This information will help identify you as an eligible employee.
03
Indicate the preferred prescription drug(s) you wish to be covered under your employee benefits plan. Include the name of the medication, dosage, and frequency of use. If there are multiple medications, list them separately.
04
If there are any specific instructions or requirements for obtaining the preferred prescription drug, such as prior authorization, step therapy, or quantity limits, make sure to include this information on the form.
05
Fill in the healthcare provider's details, including their name, address, and contact information. This is crucial to ensure accurate communication between the insurance provider and your healthcare provider.
06
Provide any supporting documentation required, such as a prescription issued by your healthcare provider or any medical records that may support the need for the preferred prescription drug.
07
Lastly, review the completed form to double-check for any errors or missing information. Make sure everything is accurate and legible before submitting it to your employer or HR department for processing.

Who needs employee preferred prescription drug?

01
Employees who require specific medications on a regular basis may want to consider filling out the employee preferred prescription drug form.
02
Individuals who have chronic health conditions or ongoing medical needs that necessitate the use of certain prescription drugs can benefit from this form.
03
Employees who want to ensure that their preferred prescription drugs are covered under their employee benefits plan should fill out this form. It allows them to have greater control over their healthcare choices and potentially save on medication costs.
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Employee preferred prescription drug is a medication that an employee chooses as their preferred option under their insurance plan.
Employers are required to file employee preferred prescription drug information for their employees.
Employee preferred prescription drug can be filled out online through the insurance provider's portal or by submitting a form provided by the employer.
The purpose of employee preferred prescription drug is to ensure that employees have access to the medications they need at a lower cost.
The information required for employee preferred prescription drug includes the employee's chosen medication, dosage, frequency, and any cost-sharing details.
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