Medco 13 2026

Get Form
medco 13 Preview on Page 1

Here's how it works

01. Edit your form online
Type text, add images, blackout confidential details, add comments, highlights and more.
02. Sign it in a few clicks
Draw your signature, type it, upload its image, or use your mobile device as a signature pad.
03. Share your form with others
Send it via email, link, or fax. You can also download it, export it or print it out.

How to use or fill out medco 13 with our platform

Form edit decoration
9.5
Ease of Setup
DocHub User Ratings on G2
9.0
Ease of Use
DocHub User Ratings on G2
  1. Click ‘Get Form’ to open the MEDCO-13 application in the editor.
  2. Begin by selecting your provider type in Section 1. Ensure you complete all relevant sections based on your selection.
  3. In Section 2, provide your general information including your current BWC provider number, business name, and tax identification number. Attach any required documents such as the IRS W-9.
  4. Fill out Section 3 with individual provider information, including education and training details. Be sure to list any specialties and attach necessary certificates.
  5. Answer the questions in Section 4 honestly. If you answer 'yes' to any question, provide a detailed explanation as needed.
  6. Finally, review Section 5 for the application agreement. Sign and date the form before submitting it through our platform.

Start filling out your MEDCO-13 today for free using our platform!

be ready to get more

Complete this form in 5 minutes or less

Get form

Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.
Contact us
Changing an entity type and no change in ownership If youre changing your entity type for tax purposes and have an active policy, complete the Notification of Policy Update (U-117) to make those changes. You do not need to complete a new application and get a new policy to make this update.
Employer Incentive Contract (EIC) provides a financial incentive to an employer to hire a worker participating in a vocational rehabilitation plan who is learning how to perform a new job.
Your doctor can initiate the prior authorization process by calling Express Scripts toll-free at 800‑417‑8164 or by fax at 800‑357‑9577. If you plan to fill your prescription at a retail pharmacy, consider completing the prior authorization with your doctor before you go to the pharmacy.
Employers can cancel their coverage by: Selecting the Cancel policy coverage button from the My policy page. Sending a letter to BWC that includes the date you last had an employee and the date you want to cancel the coverage.
The Medco 31 form is designed specifically for prescribers seeking prior authorization for a patients medication under specific health programs or insurance coverage.

Security and compliance

At DocHub, your data security is our priority. We follow HIPAA, SOC2, GDPR, and other standards, so you can work on your documents with confidence.

Learn more
ccpa2
pci-dss
gdpr-compliance
hipaa
soc-compliance
be ready to get more

Complete this form in 5 minutes or less

Get form