First Fill Information

Pharmacy Locator

The MyMatrixx pharmacy network includes all major pharmacy chains as well as most regional and independent pharmacies, including Albertson’s, Costco, CVS, Duane Reade, Hy-Vee, Meijer, Publix, Raley’s, Rite Aid, Safeway, Walgreens, Walmart, and Wegmans.

FIND A PHARMACY NEAR YOU

To the Pharmacist

MyMatrixx by Evernorth, administers this workers’ compensation prescription program. Please follow the steps below to submit a prescription claim. Standard first fill shall not exceed a 30-day supply or a cost of $750. This information is valid for up to 30 days from date of injury (DOI). Limitations may vary. For assistance, call MyMatrixx Customer Care at 1-877-804-4900.

Pharmacy Processing Steps

1. Enter BIN number: 003858
2. Enter processor control: WC
3. Enter the group number: XXX
4. Enter the injured worker’s nine-digit ID number (SSN provided by the injured worker)
5. Enter the injured worker’s first and last name
6. Enter the injured worker’s date of injury (mm/dd/yyyy)