2018 Commercial Plans

• Home Delivery Order Form
• Specialty Drug Enrollment Form
• Prescription Drug Claim Form
• Prescription Drug Transition of Care Form

2019 Medicare Advantage Plans

• Medicare Part D Prescription Claim Form
• Prescription Drug Mail Order Form
• Over the Counter Benefit 
  • Over the Counter Benefit – Place Order
  • Over the Counter Benefit FAQs
  • Over the Counter Benefit Catalog (Updated 10/10/2018)

2018 Medicare Advantage Plans

• Medicare Part D Prescription Claim Form
• Prescription Drug Mail Order Form
• Over the Counter Benefit (Generations Value, Generations Classic and Generations State of Oklahoma Retiree plans only)
  • Over the Counter Welcome Letter
  • Over the Counter Benefit – Place Order
  • Over the Counter Benefit FAQs
  • Over the Counter Benefit Catalog (Updated 06/08/2018)