First Fill Information

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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 1-888-786-9640.

Pharmacy Processing Steps

  1. Enter BIN number: 003858
  2. Enter PCN: WC
  3. Enter Rx Group Number: ESR3050
  4. Enter 9-digit Member ID: Patient SSN
  5. Enter the injured worker’s date of injury (mm/dd/yyyy)