Please use the following URL to complete submissions: https://vt.accessgov.com/pharmacy-benefit-disclosure/Forms/Page/pharmacy-benefit-disclosure/0a225ba5-6a46-49ae-8066-5eaab157662d/5036afe6-af0f-4e45-a08e-bf1c0512ce2b/
Your Session Is About To Expire
Click continue to extend your session.
Your Session Has Expired
Close your browser or click OK to begin a new session.
