Prescription Copay Reimbursement Information

Please find information relating to the SBF Copay Reimbursement Benefit covered under the Buffalo Teachers Federation below. If you have any questions, please contact the Supplemental Benefit Fund office at (716) 881-5462.

The deadline for submitting your 2024 prescription co-pay reimbursement is Friday, March 7, 2025 at 5:00 p.m. 

The SBF offers a reimbursement benefit for all teacher members and their dependents on prescription copays. The benefit reimburses up to $2.00 per 30 day Rx supply (when the cost is at least $2.00 per 30 day supply), with a $100.00 yearly maximum per person. 

When submitting for the SBF prescription benefit:

1.   Download and print the Copay Claim Form. Claim forms are also available in your school or by calling the SBF Office.

2.   Complete all the patient and subscriber information on the claim form.

3.   Obtain and attach a copy of the computer generated printout from your pharmacist to the claim form.

Please be sure the printout includes:

   -   Name of Patient

   -   Rx Purchase Date

   -   Name of Each Rx

   -   Name of Provider

   -   Cost Paid for Rx

Please Note: For All Rite-Aide Rx Customers, please be sure you recieve the Patient History Report

4.   Make a copy for your records.

5.   Mail the original copies to the BTF - SBF, 271 Porter Avenue, Buffalo NY 14201

 Prescription Copay Claim Form

Please read the information under the Prescription Copay Information tab prior to submitting for reimbursement.  If you have any questions, please contact the SBF at (716) 881-5462.

Click on the Image Above to Open and Print the Supplemental Benefit Fund Prescription Copay Claim Form

For more information regarding the SBF Prescription Copay Benefits, please see the Prescription Copay Information Section.