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Already a Member?
Access your Pharmacy Benefits information and view claims by logging into your member account.
Tools & Resources
No matter what you want to know, we'll help you find the answer. With online tools and personal support, we're at your service.
How Insurance Works
Insurance sounds complicated, but we're here to help you understand it.
Healthy Resources
Get more out of your health plan with a host of free programs and services to help you and your family make better-informed health care decisions.
Use our personalized programs and tools to help you prevent health problems and improve your quality of life.
Know what resources are available to help you stay healthy, manage a health condition and get answer your questions.
Never compromise quality care with high costs. We'll help you shop around to find the best plan for you.
Important Forms
Find the forms you need for prescriptions drug form claims, and more.
Coverage Exception Request for Individual Exchange Plan Members
Used to submit coverage exception request for drugs not covered and only applies to individual Exchange members.
Download
Responsible Quantity Limit Authorization Form
Provided to members for their providers to complete and submit for prior authorization.Applies to members with Prescription Benefits that require prior authorization or prior coverage.
Download
Responsible Steps Authorization Form
Provided to members for their providers to complete and submit for prior authorization. Applies to members with Prescription Benefits that require prior authorization or prior coverage.
Download
Prior Authorization Form
Provided to members for their providers to complete and submit for prior authorization. Applies to members with Prescription Benefits that require prior authorization or prior coverage.
Download
Prescription Drug Claim
Used to submit a prescription drug claim directly to Florida Blue.
Download
Prescription Drug Fax Order Form
Provided to members for their providers to submit prescriptions by fax.
Download
Pharmacy Mail order Form
Used to submit prescriptions by mail.
Download
Pharmacy MailRefill Order Form
Pharmacy Mail Refill Order Form
Download