Prescription Reimbursement

For reimbursement of a covered prescription, please complete a Scholars® Prescription Reimbursement Form and submit it to Scholars® at:

HTH Worldwide
Attn: Scholars®
PO Box 968
Horsham, PA 19044 USA

Download: Prescription Reimbursement Form

Mail Order Prescription outside the U.S.

To order a covered medication using Expatriate Prescription Services, please:

1. Ask your doctor to prescribe the needed medications for up to 90 days plus refills. Have your doctor substitute generics whenever possible.
2. Fill out the information sheet below including the return shipping label.
3. Send the prescription and information sheet to:
   
   Universal Rx
   via Expatriate Prescription Services
   Phone +1-540-777-1450 Fax +1-540-777-7184
   Email eps@universalrx.com

Download: EPS Mail Order Prescription Sheet

Mail Order Prescription inside the U.S.

To order a covered medication using Drug Source, please:

DrugSource
P.O. Box 1366,
Elk Grove Village, Illinois 60009-1366

Download: Drug Source Mail Order Prescription Form
Download:Drug Source Mail-in Refill Form

For more information visit scholarshealthprogram.com

To view or print the Mail Order Prescription Forms you must have Adobe Acrobat Reader.