Go to content
Members
Hawker- Beechcraft
Forms
Contact Us
FAQs
Drug Formulary
Provider Directory
-
Blue Choice
(KS only)
-
Kansas City Area
-
Outside Kansas
-
Out of Country
-
Pharmacy Locator
Outside Kansas
Members
Providers
Employers
Forms
Prescription Drugs
What to do When
Hawker-Beechcraft
Forms
ID Card Order Form
Claim Form
Member Claim Form
(If you are submitting a claim for a prescription drug charge, use this form for any BlueRx product,
except BlueRx Direct.
)
(Form 34-4)
*