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CURRY COLLEGE Office of Student Financial Services 1071 Blue Hill Avenue Milton, MA 021862395 (617)3332354 Fax: (617)3332915Statement of Educational Purpose and Certification of Identity This statement
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How to fill out prescription drug reimbursement form
How to fill out prescription drug reimbursement form
01
Obtain a prescription drug reimbursement form from your insurance provider or employer.
02
Fill out personal information section including your full name, address, and contact details.
03
Provide details of the prescription drug you seek reimbursement for, including the name, dosage, and quantity.
04
Attach the original prescription and receipt as supporting documents.
05
Include any other required supporting documents such as a doctor's note or prior authorization if applicable.
06
Double-check all information provided for accuracy.
07
Sign and date the form.
08
Submit the completed form along with the supporting documents to your insurance provider or employer either in person, by mail, or through an online portal.
09
Wait for the reimbursement claim to be processed and for payment to be issued.
Who needs prescription drug reimbursement form?
01
Anyone who has paid for prescription drugs out of pocket and is eligible for reimbursement according to their insurance policy or employer's benefits program.
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