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Prescription Mail Order

Inter Valley Health Plan members can have their prescriptions delivered right to their door through Inter Valley’s mail order service providers. Inter Valley Health Plan contracts with two mail service providers:


Walgreens Mail Service*

to provide a simple and convenient way for members to order their maintenance medications. No more standing in line.

To get started, you may register online, call Inter Valley Health Plan for the mail order form that your doctor will need to sign or print the forms below. It’s that simple.

        Mail Order Form

        Mail Service Pharmacy Brochure

        Mail Service registration & Prescription Order Form
        Mail Service Prescriber Fax Form
        En Español - Farmacia de Servicio por Correo
        En Español - Formulario de Inscripción Para Servicio Por Correo y Orden Para Surtir Recetas
        En Español - Farmacia de Servicio por Correo Formulario de fax para el doctor que receta el medicamento

*By clicking on these links, you will be redirected away from Inter Valley Health Plan's website.                 

  Updated 12/29/2021