Health & Welfare Prescription Listing for
Claim Year
(Return to summary)
You must Login First
Date Filled
Pharmacy
Prescription
Retail Charge
CoPay Amount
Amount Saved
00/00/0000
$ .00
$ .00
$ .00
00/00/0000
$ .00
$ .00
$ .00
00/00/0000
$ .00
$ .00
$ .00
00/00/0000
$ .00
$ .00
$ .00
00/00/0000
$ .00
$ .00
$ .00
00/00/0000
$ .00
$ .00
$ .00
00/00/0000
$ .00
$ .00
$ .00