SecureScript Plans
There are four plan designs for SecureScript to suit the needs of your clients.

Plan I – Generic Only (87KB PDF)
Two-Tier Plans (87KB PDF)
Three-Tier Plans (89KB PDF)

On Plans II, III and IV, there is an option to include Acid Reducers (PPI) and Non-Sedating Antihistamines. Click below for examples of each:

Acid Reducers (67KB PDF)
Non-Sedating Antihistamines (50KB PDF)

SecureScript Managed Formulary (111KB PDF)

Proposal Request
When requesting a SecureScript proposal, please fill out our Proposal Request Form (50KB PDF) or provide us with the requested information. You can mail the request, fax it to (616) 454-4338 or e-mail it back to SecureScript.

Underwritten by Fidelity Security Life Insurance Company, Kansas City, MO