Pharmacy Benefit Management

Topics	First Fill Program	Forms & Publications	Service Guide for Pharmacists
Pharmacy Overview	Sign Up Process	Prior Authorization Form (M3)	Quick Reference Sheet
US Script	Pharmacy Fee Schedule	Formulary/Product Resrictions	Brand Medication Prior Authorization Form (P2)
Plan Benefits	Generic Dispensing	Drug Quantity Limits	Relistor Prior Authorization Form (P3)
Plan Design		First Fill Product Restrictions

Sign-Up Process
To join the US Script network for Workforce Safety & Insurance, contact US Script directly at 1-800-460-8988 option #2. They will fax or email a contract to you to expedite the set-up process.

To ensure proper processing please use the following:

BIN # 008019
PCN # USS
Group # 8001

Typically activation can be done the same day.