SmithRx Reimbursements

Did you know you can submit for reimbursement if your pharmacy can't process your prescription benefits at the point of sale? Here's how:

1. Fill out both sides of the SmithRx Member Reimbursement Form

2. Attach your original pharmacy receipts, including:

    • Participant Name
    • Prescription Number
    • Drug Name and NDC Number
    • Metric Quantity/Days Supply
    • Pharmacy Name and Address or NABP Number
    • Purchase Date
    • Total Charge

3. Submit by mail or fax to:

SmithRx Reimbursement Services 

PO Box 994 Lehi, UT 84043 


(866) 642-5620

Important Notes

    • SmithRx can only reimburse purchases made at an in-network pharmacy.
    • Reimbursements are based on your benefit plan design.
    • Reimbursements for PPO Plus HSA members will apply to their deductible and out-of-pocket maximums as applicable.

Have additional questions for Sana? You can reach us quickly via chat at Monday through Friday, 7 AM–7 PM CST,  or at or (833) 726-2123.