WPAS Prescription/ Dental / Vision and Medical (Member Paid) Claim Form

*WPAS only processes out of Caremark network claims that are member paid.

All other prescriptions member paid claims should be submitted to Caremark and there are various methods to submit claims on www.caremark.com  where an employee can register and create an account.

WPAS Claim Form Revised 123114.pdf, 28.69 KB; (Last Modified on April 24, 2020)