Page 9 - Nellis, Creech and NTTR Bullseye 11-25-15
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BULLSEYE                                                                Health and Wellness                                             9November 25, 2015

www.aerotechnews.com/nellisafb                                                                                                          Facebook.com/NellisBullseye

By 99th Medical Group                     pharmacy benefits
                                          You must file your claim within one year
Q: Where do I send my pharmacy            of the date of service.   
    claims?                                

A: Mail stateside pharmacy claims to:     Required Info with Your Claim
    Express Scripts, Inc.
    P.O. Box 52132                        t'JMMPVUB1BUJFOUT3FRVFTUGPS.FEJDBM
    Phoenix, Arizona 85082                Payment( DD Form 2642)
                                          t:PVNVTUTFOEUIFGPSNBOEUIFGPMMPX-
Pharmacy Claims:                          ing information with your claim
You will need to file a claim for reim-   t*GZPVIBWFPUIFSIFBMUIJOTVSBODF
ZPV
bursement if:                             should send an explanation of benefits
t:PVHFUZPVSQSFTDSJQUJPOGJMMFEBUB  (EOB)
non-network pharmacy
t:PVIBWFPUIFSIFBMUIJOTVSBODFXJUI         Send your questions to

                                            askthedoc@us.af.mil

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