Online Services & Forms

Here to Assist You, Anytime, Anywhere.

MedBen Rx believes in ensuring that clients have ready access to the information they need when they need it. That’s why MedBen offers a variety of online customer service tools, all available around the clock.

On this page you will also find Prescription Prior Authorization Request Forms that you can download, print and sign. If you have any questions about using and completing these forms, please contact MedBen Customer Service at 800-686-8425 or Plan Administrators are welcome to contact their Account Representative.



This easy-to-navigate site, available through MedBen Access, is designed to help plan members better manage their pharmacy plan and make cost-effective prescription drug decisions.

Employers who need assistance logging in or using the site may contact their team of dedicated Account Representatives. Members can call MedBen Customer Service at 800-686-8425.

The MedBen Rx Member Prescription Portal is also available through our mobile app! Download it from the Apple App Store or Google Play (search for “MedBen”).

Documents containing protected health information (PHI) are posted electronically on this safeguarded employer site. When a document is available, you will automatically receive an e-mail notification with download instructions.

FSA Store and HSA Store simplify shopping for over-the-counter drugs and other FSA- and HSA-eligible products. When you use your MedBen debit card at the FSA Store, you don’t need to substantiate your purchase!

FSA and HSA Stores remove the guesswork from determining if your purchase is qualified for reimbursement, and offer a 100% product eligibility guarantee.

MedBen offers two detailed lists of qualified medical expenses under Section 213 of the Internal Revenue Code.

The MedBen Health Care Expenses Table offers detailed information about FSA- and HRA-eligible products and service types, as well as those that may be potentially eligible depending on circumstances.

When the opening screen appears, simply type in the MedBen password mbc26 (case sensitive) and press the “Enter” button on your keyboard.

The FSA Store Eligibility List is a convenient way to check eligibility AND shop for specific items.

To see HRA Expenses, under “The Complete FSA Eligibility List” select “Health Reimbursement Account (HRA)” from the Account drop-down box.

Frequently Asked Questions about using the debit card (PDF).

Download a list of participating pharmacies, discount stores and supermarkets that can identify FSA-eligible items at checkout using an Inventory Information Approval System (IIAS).

Download a list of participating pharmacies, discount stores and supermarkets that do not use IIAS, but 90% of whose sales come from medical care items (thus making them FSA-eligible).

Prescription Prior Authorization Request Forms

Prescription Prior Authorization Request Form – Use for all pharmacy benefits managers except Ventegra (check your ID card to find your PBM).

Prescription Prior Authorization Request Form – Use for Ventegra only (check your ID card to find your PBM).

Self-funding Saves. MedBen Delivers.