To better serve you, we are providing a Form in which you can request; (1) general information, (2) ask our pharmacist to transfer your prescription account from your present pharmacy to Beaver Drug, and (3) have Beaver Drug contact you regarding insurance issues.

Insurance Programs
    Beaver Drug & Gift accepts many insurance plans. To expedite order placements, we ask that you provide some basic information along with the name of your insurance provider. A list of insurance providers third-party processors that we commonly accept appears at the bottom of this page. However, if your insurance provider is not listed, that does not necessarily mean that your insurance is not allowed. Please call our the Toll Free Number shown on the left for questions regarding your insurance coverage. We accept most plans that are not listed on this page.

    Please fill out the Form below, making sure to fill in all the required fields, and then press the Submit Button. We will either e-mail our reply or call you according to your preferences stated on the Form. We will store your information into a personal customer account. Please read our Notice of Privacy Statement by clicking on the words to the left.

Fields marked (*) are required
Name:*		Email From:*
Address:*		ZipCode:*
City:*		State:*
Home Tel:*		Work Tel:(optional)
Transfer Account: Yes or No		InsuranceProvider:*
In the following box, please provide the name of your current Drugstore and telephone number. You can also type in any special requests or questions. Comments
Would you like to be contacted through e-mail or by phone?
By Email:
By Telephone:
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INSURANCE PROVIDERS Third-Party Processors
	Paid PCS Caremark Utah Medicaid Medicare Tricare	Intermountain Healthcare (IHC) Blue Cross Blue shield of Utah Express Scripts PEHP Medco