CBCA Rx Claim Form

IPS Mail Order Enrollment Form

Walgreens Prescription Mail Order Form

Walgreens Mail Order Instructions

Walgreens Physician Mail Order Fax Form

CBCA Rx Privacy Policy

Protecting your privacy is important to CBCA Rx. Our commitment to keeping sensitive health information private was the most important factor in creating our security infrastructure. Our privacy policy will explain who has access to secure information, our use of cookies, and what we do to constantly monitor our environment.

In some areas of our site, we provide you with links to other organizations. Know that those organizations may have their own privacy policies, security and terms and conditions.

CBCA Rx uses the technology of cookies on our website. These cookies are used only while your browser is open. We use cookies to allow you to navigate through the secure pages on our site without having to re-enter your username and login each time you request private data in the same session. These cookies are not permanent and expire once you end your session by logging out, closing all browser windows, or after 15 minutes of inactivity.

CBCA Rx may from time to time post a satisfaction survey to random visitors to our site. We may ask what you like about our site and what suggestions you may have. Your responses are collected in aggregate form and are used to improve the content on our site. No personally identifiable information is used. Cookies are used to ensure that once you have responded to a survey, you are not asked to complete another one for at least six months. Any comments you would like to submit from the survey site will be sent to us over the Internet using Secure Socket Layer encryption technology.

While our system recognizes domain names and e-mail addresses by nature of your accessing our site, we do not place this information in any database. We may use this information in aggregate internally to ensure performance of our site, but will not disclose it to any third party.

This website contains access to confidential and personal information. CBCA Rx continuously monitors our security infrastructure. We have appropriate security measures in place in our physical facility to protect against loss, misuse or alteration of private information.

Changes may be made to this website at any time, without notice.