This is a brand name drug.
Please note that there is a generic option available for this medicine. Please click here for the generic alternative.
Controlled substances are not available through mail order.
|Quantity / Days Supply
|Quantity / Days Supply
All drug prices are approximate and may vary at time of purchase. Please note, the prices at Walgreens and CVS pharmacies may be higher than those shown.
Due to the unique packaging of this medication pricing is not available online; please contact your participating pharmacy for the discount card price.
This pricing tool cannot estimate prices on items such as birth control pills or injectables, due to their unique packaging. Please contact your preferred WellCard network pharmacy to ask about their pricing for these types of medications.
Mail Order for Your Prescription
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With the WellCard Health and WellCardRx Discount Cards, members have the choice of filling prescriptions
at a participating retail pharmacy or having long-term maintenance medications delivered
directly to your home.
To have your prescriptions delivered to your home, enroll in Mail Order!
Steps to Enroll:
1. Call 888-479-2000 and press option 5. A Member Services Representative will be available
to set up your prescriptions for delivery. Please have your discount card available to
provide your Group ID and Member ID. The Member Services Representative will collect all
your personal information, including a credit or debit card which will be kept on file.
2. You may either mail in a new prescription or ask your Prescriber to fax the prescription.
Select your option. Download and fill out the form you need.
Mail Service Order Form (click here for form)
This form should accompany your prescription orders. You can print and mail this form in
with your new prescription.
Doctor's New Rx Form (click here for form)
For use by your doctor to submit a new prescription to the WellDyneRx mail pharmacy.
Mail in to:
PO Box 4517
Englewood, CO 80155-4517
3. After we receive your new prescription, it will be processed and mailed to you.
Please allow 7 to 10 business days to receive your medication. Once the initial
prescription is filled, you can refill your prescription by calling 888-479-2000
option 5. Please call approximately three weeks prior to the depletion of your
medication supply. If you ever have any problems, questions or concerns, our call
centers are staffed with friendly and knowledgeable representatives who are able
to serve you 24 hourse a day, 7 days a week.