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    Reimbursement Form


    Use this form when your eligibility/coverage cannot be verified in an emergency situation and you need to file a claim for reimbursement for out of pocket expenses.

    Reimbursement Form

    Location
    RxPlus Pharmacy



    582 Monroe Rd Suite 1412



    Sanford, FL 32771



    Contact Us at



    1-866-943-4535



    Hours:



    Mon-Fri 8am - 6pm



    Sat-Sun: Closed



    Fax us at:



    407-805-8545



    Questions? Suggestions?



    Rxplus@adventhealth.com