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BJC Employee Pharmacy (mail order) Registration Form

**You must be a BJC Medical Plan Participant to use the BJC Employee Pharmacy**

Patient Information

<p><em>The name should exactly match the insurance card. Questions? Contact the BJC Employee Pharmacy (314) 525-0411</em></p>
<p><em>If shipped USPS, you will receive an email notification with a tracking number when your medication ships.</em></p>

Home/Billing Address

Shipping Address

<p><em>The pharmacy can only ship to addresses in Missouri and Illinois. Controlled substance (CII-V) and refrigerated medications cannot be mailed to a P.O. Box.</em></p>

Payment

The pharmacy accepts all major credit and debit card types (MasterCard, VISA, Discover and American Express), Flexible Spending Account Card, pre-paid card, or cash card through BJC Payroll. Once your profile is created, you will receive a confirmation email directing you to our secure site where you can provide your card information.

4901 Forest Park Avenue
St. Louis, Missouri 63108
314.286.2000
Copyright © 1997- 2018 BJC HealthCare. All Rights Reserved.