EZRefillRx

EZRefillRx is available 24/7 to use online or by phone when refilling prescriptions through Serve You DirectRx Pharmacy mail service or Serve You DirectRx Specialty Pharmacy.

Click the button below or call 800-759-3203.

Member Portal

Serve You Rx Member Portal provides safe and secure access to your personal prescription information and features that help you price drugs, find in-network pharmacies, and search for lower-cost options for your medications.

The Member Portal is password protected. Users are required to register or login using HealthSafeID.

 

Member Forms

As part of your pharmacy benefit, you may be asked to complete and return special forms to Serve You Rx. Below is a list of commonly used forms. To request additional forms (i.e., drug-specific forms), please call 800-759-3203:
Information Update Form
New Prescription Mail-in Order Form (includes WI ETF)
Prescription Transfer Form (includes WI ETF)
Prescription Reimbursement Claim Form

All forms are in .pdf (Acrobat) format. You can download the latest version of the Acrobat Reader software on Adobe’s website for free.

Preferred Drug List

The Serve You Rx Preferred Drug List (PDL) will help you and your medication prescriber choose safe and effective drug therapies that are cost effective and covered by your pharmacy benefit. Click the links below to view the most recent versions of the Serve You Rx PDL.

Preferred Drug List – Select
Preferred Drug List – Standard
Preferred Drug List Recent Changes – Select
Preferred Drug List Recent Changes – Standard
July 2018 Serve You Rx Select Formulary Excluded Product List
Specialty Drug List

All forms are in .pdf (Acrobat) format. You can download the latest version of the Acrobat Reader software on Adobe’s website for free.