- A photocopy of the front and back of your PRED FORTE® Savings Card.
- Your original proof of purchase
(original pharmacy receipt with your
name and address, pharmacy name, product name, prescription
numbers, NDC number, date filled, quantity, and price).
- A photocopy of the front and back of your insurance card.
- Your date of birth.
PRED FORTE® Claims Processing Department,
P.O. Box 1785
New York, NY 10156
Please allow 6-8 weeks to receive your reimbursement. Reimbursement requests must be postmarked within 4 weeks of fill date. Reimbursements are subject to Program Terms, Conditions, and Eligibility Criteria.