Prescription Drug Plans Online Fraud and Abuse Report Form

Online Fraud and Abuse Report Form

To: Special Investigations Unit

Please note that not all of the following information is required (required information is marked with *), and if entered will remain confidential. Personal information will only be used if it is necessary to contact you for more information concerning the investigation of your filing.

Subject Information

Personal Information

Best Time to Call



Call today for a free info kit!

Contact your local agent or call us at 1-800-731-0459 (TTY: 711)
8 a.m.-8 p.m., weekdays (year-round) and weekends (Oct. 1—March 31).