Brand name drug coverage
If you have coverage through your employer
Submit your claims online
GroupNet makes it quick and easy to submit your claims online or print forms that are pre-filled with your personal information. You can also sign up for direct deposit, view coverage information and much more.
Still need to sign up? It’s simple and only takes a few minutes.
Register - Opens in a new windowRequest brand name drug coverage
There may be cases where your workplace benefits plan will only reimburse the cost of the generic drug, but you have been prescribed a brand name drug. If you have a legitimate medical reason for needing the brand name option, you can request coverage for it.
Certain prescription drug claims need to be approved before we can consider reimbursement. To request a review, complete the following steps:
- Download and save the Request for brand name drug coverage form (M7088).
- Complete the section(s) that apply to you.
- Ask your doctor to complete the physician's section.
- Submit the completed form via email, or by following the instructions on the form.
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Use this form to request coverage for a brand name drug. You’ll need the doctor to fill in some sections.
Not forms you're looking for? Go back to the find a form page.