Coventry has been selected by Falls Lake Insurance to assist you in obtaining prescription drugs related to your workers’ compensation claim. This form enables you to fill prescriptions written by your authorized workers’ compensation physician for medications related to your injury. Simply fill in the form and present it at the pharmacy at the time your prescription is filled. This form guarantees that you will have no out-of-pocket expenses when you fill your first prescription.
• For your convenience, Coventry has an extensive network of retail pharmacies including major chain drug stores.
• For pharmacy locations you may visit www.coventrywcs.com
and use the find a pharmacy in the quick links section of their homepage.
• If you have any questions, or would like to learn about our convenient home delivery service, please contact the mail order enrollment customer service center at (877) 350-5160.
PBM Pharmacy search call 800-791-2080 and an agent can assist.
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