PRESCRIPTIONS

All prescriptions are purchased by the Member and submitted for reimbursement via mail with an Original Cash Register Receipt and an Original Pharmacy Receipt showing the Name of the Drug and the amount dispensed.

It is reimbursed at the average wholesale price which could be less than the amount charged.

Member co-pay is 10% and check are issued every Friday.

Mail Prescription Claims to:
IPM Health & Welfare Trust
1168 E. La Cadena Drive
Riverside, CA 92507

Rx Claim Form English

Rx Claim Form Spanish