Individual Consumers
If you are a member of the Class as a consumer, you may file a claim for a share of the Settlement Fund. You must complete a Claim Form and mail it to the Claims and Notice Administrator, or submit your claim online, no later than January 5, 2023.

To file your claim by mail, download a copy of the Claim Form below

• Consumer Claim Form

Third-Party Payors (TPPs)
TPPs are entities (besides the patient) that provide payment or reimbursement for health care expenses, like prescription drug benefits. They include entities such as, self-insured health and welfare plans and health insurance companies that make payments from their own funds, and other health benefit providers and entities with self-funded plans that contract with a pharmacy benefit manager (PBM) or administrator to administer their prescription drug benefits for their members, employees, insureds, participants, or beneficiaries.

The Notice and Claims Administrator may request supporting documentation in addition to the documentation and information requested below. The Notice and Claims Administrator may reject a claim if the Class Member or their authorized agent does not provide all requested documentation in a timely manner.

• Third-Party Payor Filing Template
• Applicable NDC List

To file your claim by mail, download a copy of the Claim Form below

• Third-Party Payor Claim Form