Questions? Call the DC Pharmacy Benefits Hotline: (202) 671-4815
- Pharmacy Benefits FAQ
- What drugs are available through the PBP?
- Pharmacy Information
- In-Network PBP Pharmacies All Clients
- Out-of-Network PBP Pharmacies Privately Insured/Medicare Clients Only
- I need help taking my HIV medication on time.
- Health Insurance Assistance
Client Forms
- ANNUAL Pharmacy Benefits Program Application [PDF]
- All applications must be signed and dated in order to determine eligibility
- Retain a copy of all documentation for your records
- Please note that other individual documents are required
- Your application can now be submitted online
- Contact Pharmacy Benefits for your unique registration code
- Zero Income Statement [PDF]
- Authorization for the Release of Health Information [PDF]
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