Member reimbursement Form
Looking for reimbursement on covered drug costs?
View and fill out this instructional form below!
All Member Forms
Member/Patient Forms
If you are a member looking to fill a form or file a pharmacy claim, view the available forms below.
For Physicians
Physician Forms
If you are a physician looking to fill a form or file a prior authorization request, view the available forms below.
Note: UF Health in Gainesville must use the UF Health Pharmacy at Medical Plaza for mail order prescriptions. They can be reached at 352-265-8270.
After your visit
Reading the Explanation of Benefits Document
After you see a provider, you’ll get an explanation of benefits (EOB). You may get your EOB by mail or email, or you may access it online.
An EOB is not a bill. An EOB shows details about a health care service you received. Learn how to read the EOB with this document here!
Current Recalls
For a list of all current drug recalls, please click here.