I Have United, What Mail Order Service Do I Use?

Step 1 The first time your doctor prescribes a medication
that you will take on a regular basis, ask for two prescriptions.

The first prescription should be written for a one-month supply that
can be immediately filled at a participating retail pharmacy.

The second prescription should be written for a 90-day supply of the
medication with refills.

Use the 90-day prescription to obtain your medication from the mail order
pharmacy.

The mail order pharmacy cannot alter your prescription, which must be
dispensed as written by your doctor. You will be charged according to your
pharmacy benefit for any prescription you submit to the mail order pharmacy.

Step 2 Use the process that is most convenient for you to
fill mail order prescriptions:

FAX — Give your doctor your ID number. Then have your doctor call
1-888-327-9791 for instructions about how to fax your prescription to the
pharmacy. Prescription Fax Forms are available at www.uhcrivervalley.com but
must be faxed in by your doctor.

MAIL — Mail the completed Medco By Mail Order Form and
the Health, Allergy and
Medication Questionnaire, along with your prescription. The information you
supply on this questionnaire is kept confidential and helps the pharmacist check
for potential medication interactions. Forms are also available by calling the
Customer Care number on your ID card. Mail completed forms and your prescription
to the address on the mail order form.

Step 3 Pay for your prescription.

You can pay by check, money order or credit card. To enroll for e-check
payments, set up an automated payment plan using a credit card and price
medications, log in to www.uhcrivervalley.com or call 1-800-948-8779.

We promptly deliver your order in a package that doesn’t indicate the
contents. Your prescription order will be delivered to you within seven to 11
days. Your package will include a medication container, refill instructions and
information about your medication.