Prescription Drug Claim Form 2025

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Pharmacy items you can claim on Essential to treat a particular illness injury or condition. Prescription only, including oral contraceptives and cosmetic pharmaceuticals for medical conditions, travel and other vaccinations (unless dispensed at the medical practitioners clinic), and hormonal implants.
Refund claims should be addressed and sent to: Prescription Charge Refund Claims, PO Box 11950 Finglas, Dublin 11. Where Can I Get Assistance with this Form? Please call 1890-252-919 and we will help you.
Pharmacy claims, much like dental and medical claims, are adjudicated before the Payer processes them; adjudication assesses claim validity, relevancy, and accuracy. Think of adjudication as the insurance companys way of double-checking that everything is correct before they agree to pay.
To apply for a refund, print the refund claim form, or get one from your Local Health Office, or call 0818 22 44 78. Post the completed claim form to the address given on the form. You can check the status of your application for a refund at drugspayment.ie.
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