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Claims

First Fill Pharmacy Card

FHM Policyholders

In our continued effort to reduce your Workers’ Compensation medical costs, FHM Insurance Company has formed a partnership with the myMatrixx Pharmacy Program to provide your employees with a prescription program.

Injured Workers

Download the “Workers’ Compensation Temporary Prescription ID Card”

On your first visit, please give this notice to any pharmacy listed on the backside to speed the processing of your approved workers’ compensation prescriptions. For any questions, or if you need assistance locating a participating retail network pharmacy, please contact myMatrixx, an Express Scripts Company, Customer Care at (877) 804-4900.

How the Program works:

When an injury occurs, please give the employee a copy of the myMatrixx Pharmacy Form:

This form is to be used for the initial prescription only.

The employee will present the Pharmacy Form to a participating pharmacy (listed on the form), along with a prescription from the medical provider.

A separate RX card will be mailed directly to the employee by myMatrixx after the claim is reported, to be used if further prescriptions are required.

It is our pleasure to offer you this program and we are confident that you will realize tremendous benefits by participating in the plan. This prescription cost management program will help in the ongoing war against health care cost escalation.

If you have questions regarding this program, please email claimreporting@fhmic.com or call (888) 346-3461 and ask for your claims adjuster.

LUBA Policyholders

Information coming soon.

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