Submit a Claim

If you paid for a prescription in full and need to be reimbursed complete our claim form and return to us, along with a copy of your prescription reciept (not the cash register receipt).

Submit claims by:

Fax:     785.228.3951


Mail:    3512 SW Fairlawn Rd, Suite 300- Topeka, KS 66614


Access our claim form here.





If you have any questions, please contact Prescription Network at 1-800-279-3022.

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