Can't upload documents? No problem! You can also submit your claim in the following ways:

P.O. Box 6875
Bridgewater, NJ 08807

(888) 668-8137

Use the Co-Pay Assistance Claim Form if you paid out of pocket at your pharmacy.

Use the Co-Pay Assistance Request Form if your prescription was filled at your pharmacy or prescriber's office.

Please feel free to contact us with any questions or issues regarding your account.

(866) 562-6851
8:00 AM-8:00 PM ET Mon-Fri