![]() Please consult your doctorīefore using any over-the-counter (OTC) product. You’ll re ei e a ge eri o para le to the a e-brand product. Please allow 10 to 14 business days from the time we receive your order to delivery. Orders will be shipped to your home by UPS or the US Postal Service at no extra charge to Call RightSource at 1-85 (TTY: 711 ) to confirm your eligibility, Monday – Friday, 8 a.m. Note: A monthly allowance amount is only available if your plan offers the over-the-Ĭounter (OTC) services as a benefit. Beginning January 15, 2022, Louisville Metro employees enrolled in a Humana medical plan will have two options to get at-home, OTC COVID-19 test kits at no-cost. To pay by Credit Card, please complete the following: There is a $25 charge for all returned checks. 2 Version: CLICK HERE FOR THE 2022 WELLCARE OTC CATALOG Wellcare 2021 OTC catalog. Please make checks payable to RightSource. The Humana OTC catalog 2021 is a great resource for anyone who has a. Step 3: Payment Information (if applicable) Failure to submit payment in full will lead to a delay in shipment. Order, or enter your credit card information below to pay the remaining amount due. Payment and you will receive the items you ordered.Īllowance, please include your check, money If your total order is less than our pla ’s Please do not submit your first order until January, 2014 *This order form is for the 2014 benefit year. ∙ Fax: Fill out the Health and Wellness Order Form and fax only the order form ∙ Mail: Fill out the Health and Wellness Order Form and mail only the order form pages to: If your total order exceeds your benefit amount limit, please be sure to include a check, money order, or credit card information to pay the remaining amount due. Place your order no later than the 20 th of each month to ensure that RightSource is able to process your order within the applicable benefit month. You will need this to look up the Health and Wellness products you want to order each month. Customer Care Representatives are available Monday – Friday, 8 a.m. Health and Wellness products from the RightSource mail-order pharmacy?Ĭall RightSource at 1-85 (TTY: 711) to verify your eligibility or request an order form. ![]() Landlord (Tenant) Recommendation Letterĭid you know that depending on your current Humana plan, you may be able to purchase.
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