Home Delivery

Home Delivery

Get your medications delivered safely and securely by mail

Tweet, Tweet! As of February 1st, Elixir Mail Order Pharmacy is now Birdi! You will see the Birdi name on your medication packages and pharmacy communications. Don't worry, we're still the same company and your prescriptions will still be handled by the same experienced and dedicated team-just with a new name!

You don't need to do anything. You'll still get the same great service. We're excited about our new name and our continued commitment to serving you with your medication needs. Thank you for being a Birdi customer!

Prescriptions by Mail-It's Just What the Doctor Ordered

Get the medications you need without the fuss. With Elixir, your medications are always delivered to you on time, safely and conveniently. We coordinate with your doctor to deliver comprehensive pharmacy services, ensuring you get the individual support you need with every prescription fill.

If you're regularly taking maintenance medications, such as those for high blood pressure, cholesterol or diabetes, then home delivery may be a convenient and cost-effective option for you.

Skip the Lines and Never be Without Your Medication

With Elixir, no matter where you are in the U.S., Puerto Rico and U.S. territories, your medications are delivered on time, safely and confidentially-directly to your home.

Convenient and Affordable

Safe and Secure

Rely on Our Quality and Service

Elixir customer care representatives and licensed pharmacists are available 24/7 year-round. We are committed to the highest level of excellence, which places us at the forefront of medication management. We are dedicated to helping you control medication costs and attain a greater quality of life.

Elixir Pharmacy is a fully accredited mail order pharmacy focused on customer care and service.

Automatic Refill Program

Sign up for Elixir's free automatic refill program, EasyRefill, and get your medications refilled automatically and sent to your home. With EasyRefill, you never have to worry about missing a dose. Click here to learn more.

Secure, private packaging

Fewer trips to the pharmacy

Often less costly than retail

Free standard shipping and tracking

Refill reminders

Licensed pharmacists available 24/7

Mail Order FAQs

How to enroll in Elixir Mail

You can enroll in Elixir Mail through multiple methods:

How can I or my doctor submit my prescription for mail order?

Your provider may send prescriptions to Elixir Mail by fax, phone, e-prescribe or mail. Members can only send new prescriptions by mail. A member can refill prescriptions via phone (live or IVR), website, or mail. For initial or refill prescription requests, please fax the prescription or order form.

How do I transfer my prescription?

Transferring your prescription from a local pharmacy to Elixir.

Contact Elixir Customer Care at 866-909-5170. and we will gather your information and complete a transfer-in request.

Be prepared to provide the following information:

Transferring your prescription from Elixir to another pharmacy.

The first thing you need to do is identify what pharmacy you want your prescription to go to. This is the receiving pharmacy.

Call the receiving pharmacy and let them know you want to transfer your prescription. The receiving pharmacy will gather all necessary information from you and will contact Elixir directly to receive your prescription transfer.

Elixir does not initiate transfer-out requests-the receiving pharmacy must contact Elixir.

How do I refill my medication?

Log in to your Mail Portal and follow the step-by-step instructions for refilling online. You can also call member services and use our automated IVR system or speak to a Customer Service representative to request a refill.

You may also qualify for our automatic refill program. Contact us to find out more about automatic refills.

How can I check the status of my prescription?

To check the status of your medication prescription order, log in to your Portal or call us at 866-909-5170 and use our automated system to check the status of your order or speak with one of our Customer Service representatives.

How long will it take to receive my order?

Once an order has been processed, please allow seven to ten business days for shipping. Shipping is free for standard mail delivery and for faster delivery, expedited shipping is available at an additional cost.

If there is a delay, we will notify you using your preferred method of contact.

How can I track my order or find shipping information?

Once your medication is shipped, you will receive a tracking number via email and/or text if you have opted in for the service. You can also see shipping status in the Member Portal. You may also call Customer Care at 866-909-5170.

The Elixir mail order facility is located in North Canton, OH and all medications are shipped from this location.

Standard shipping is free and expedited shipping is available at an additional cost.

If you need to have your medication shipped to another address, please contact Elixir at 866-909-5170

We follow strict quality and safety procedures to ensure you medication arrives safely and securely.

What is auto refill and how can I sign up for it?

Our auto refill program will automatically refill each enrolled prescription when it is available to be filled, saving you from having to log in or call for your refills. Please call Customer Service, and if your plan allows this option, we can set up the auto refill service for you.

NOTE: Remember to contact Customer Service if your physician discontinues therapy on a medication that you have on auto refill. Some medications may not be eligible for auto refill.

What is the cost of my prescription?

Contact your insurance company's customer service department for prescription copay/cost, or call Elixir Pharmacy at 866-909-5170 for assistance with understanding out-of-pocket costs, copays and co-insurance, pharmacy networks and cash prices for medications.

Do I have to pay my balance before my medication will ship?

Yes, any outstanding balance on your account will need to be paid before any medication can be shipped. If there is no outstanding balance on your account and the order is under $50, we can ship your medication and invoice later.

Who should I contact if I have questions about or reactions to my medication?

Pharmacists are available 24 hours daily to help with any questions regarding your medication. Call 866-909-5170.

How can I report a problem with my medication?

Pharmacists are available 24 hours daily to help with any questions regarding your medication. Call 866-909-5170.

What is a Max daily dose (MDD) or Total daily dose (TDD)?

Maximum daily dose means the total daily dose limitation on certain drugs imposed by the FDA for safety reasons. It is important information you and your doctor need to know to help prevent overdose of a drug as well as making sure you have enough medication to last for the prescribed duration of your prescription.

Calculating Day Supply

Generally a daily dose calculation depends on your body weight and a recommended prescribed dose. Dose = weight x dosage.

When the MDD or TDD has been confirmed, the full prescription amount can be calculated by multiplying that number by the intended number of days you will use the medication.

Example: If a patient is prescribed 2 tablets by mouth twice daily for 3 months, the calculation is TTD or MDD (4 tablets) x 90-days. In this case, the patient will receive 360 tablets for a 90-day supply.

More example calculations are shown under the Example Prescription Calculations section.

*Some medications are limited based on commercial availability and Medicare billing requirements. (See Medicare Billing Requirements for more information)

Expiration Dates

Prescription expiration dates can vary according to state laws. Elixir Mail Order resides in Ohio and must follow all Federal and Ohio State laws.

All non-controlled substance prescriptions must be filled at least 1 time within 6 months of the date prescribed, or the prescription expires. Once filled, the prescription is valid for up to 1 year from the written date. Please note: the expiration date of a prescription drug can vary, even if two drugs are used for the same purpose.

*Controlled substances may have different requirements.

*Some prescriptions may require special storage conditions, like refrigeration, or may not be good after a certain amount of time based on manufacturer instruction.

If your prescription has specific expiration dates associated with it, your Rx label should let you know when to discard the medication. Please check with your prescriber or pharmacy if you have questions about your medication expiration date.

Medicare Billing Requirements

Medicare has dispense requirements that must include the exact day's supply for medications, including topical products. Claims will only be approved if the prescription meets these standards.

Example: A patient is prescribed Triamcinolone 0.1% cream. Per Medicare requirements, we must obtain the number of grams per application.

*Medicare claims will only be approved for a 90-day medication supply or less. Typically any prescription claims for more than 90 days are rejected. (Exceptions may apply).

Example Prescription Day Supply Calculations

The following are examples of Medicare Part D prescription calculations.

Example ( Insulin )

Patient: John Doe

Medication: Novolog Flexpen U-100

Dose: 15 units subcutaneously 3 times a day before each meal

TDD: 45 units (15 units x 3 meals)

Pack Size : 1 carton of 5 pens (15mL total)

Maximum quantity allowed under Medicare Part D: 10 pens (30mL total) =66-day supply (* a third box would put the Rx at 45mL=100-day supply and get a rejected claim)

Example ( Inhaler )

Patient: John Doe

Medication: Advair HFA 115/21mcg

Dose: 1 inhalation twice daily

TDD: 2 inhalations

Pack Size : 1 inhaler=12 grams (120 inhalations)

Maximum quantity allowed under Medicare Part D: 12 grams (1 inhaler) =60-day supply (* a second inhaler would put the Rx at 24g=120-day supply and get a rejected claim)

Example ( eye drop )

Patient: John Doe

Medication: Timolol 0.5% eye drop

Dose: 1 drop in each eye once daily

TDD: 2 drops

Pack Size : 5, 10, or 15mL bottle

Maximum quantity allowed under Medicare Part D: 5mL (1 bottle) =50-day supply (* a second bottle would put the Rx at 10mL=100-day supply and get a rejected claim)

Example ( Ointment/cream)

Patient: John Doe

Medication: Diclofenac sodium 1% gel

Dose: 2 grams topically twice per day

TDD: 4 grams

Pack Size : 100-gram tubes

Maximum quantity allowed under Medicare Part D: 300 grams (3 tubes) =75-day supply (* a 4th tube would put the Rx at 100-day supply and get a rejected claim. We cannot dispense 360g since only available in 100g tubes)

Eye Drops

How many eye drops are in my bottle?

Eye drops are measured in milliliters (mL) and your bottle will come in some quantity of mL (i.e., 2.5mL, 5mL, 10mL bottles, etc.).

For most eye drops other than latanoprost, there are 20 drops in every 1mL of liquid (see separate Latanoprost section*).

Example, if your bottle has 5mL of liquid x 20 drops per mL= 100 drops per bottle.

Exceptions include a single use, preservative-free eye drops that are used 1 time then thrown away. These are entered in terms of "Unit of use" instead of mL.

* Some eye drops are only available in certain sizes. Not all drugs are available with multiple size bottles.

Xalatan (Latanoprost 0.005%) eye drops FAQ

The manufacturers of Xalatan have determined that there are 33 drops in every 1mL of liquid, thus making latanoprost an exception to the general rule of 20 drops/mL.

When calculating number of drops for latanoprost we use 33 drops per mL.

Example: For each 2.5mL bottle x 33 drops/mL=82 drops per bottle.

These eye drops are stored in the refrigerator, but the manufacturer specifically allows for the medication to be shipped without refrigeration if certain requirements are met.

Once a bottle is opened for use, it may be stored at room temperature up to 25°C (77°F) for 6 weeks.

Diabetes Basics

Diabetes is a chronic disorder where our body is unable to regulate sugar (glucose) properly. In the simplest terms your body has problems turning food into energy. There are 2 types of Diabetes

What happens if I let my diabetes go uncontrolled?

Per CDC, diabetes is the 7th leading cause of death in the United States and the #1 cause of kidney failure, lower-limb amputations and adult blindness. You are 2-3x more likely to have a stroke or heart attack as a patient with diabetes.

What are the ABCs of diabetes?

A stands for A1C

B stands for Blood Pressure

C stands for cholesterol

Insulin FAQs

Have questions on how to inject your insulin?
Call your provider, or call Elixir at 866-909-5170 and ask to speak to a pharmacist.

It's important to discuss with your provider whether you will be using prefilled insulin pens or using a multidose vial which requires drawing up the insulin with a separately provided syringe/needle.

Pen-injectors vs Vials
Your order will show the quantity in milliliters (mL).

Depending on whether the insulin is in a pen or vial will determine the expiration date. Example, Humulin N expiration dates:

Pen Injectors
Most insulin pens typically contain 3mL of liquid which can deliver a total of 300 units of insulin. These rules only apply to U-100 insulin pens. (Exceptions apply for higher concentration pens*).

They are available as 1 carton of 5 pens and cartons cannot be broken down to dispense less 5 pens. Thus, the minimum qty to dispense insulin pens is 1 box of 5 pens.

Insulin pens will require a sperate prescription for pen needles that are screwed on to the end of the prefilled pen in order to successfully administer your insulin. * Talk with your provider about what size/gauge needles you will be using to administer your insulin.

Insulin vials are supplied in 10mL of liquid which usually contains 1000 units of insulin.

Insulin vials will require a separate prescription for a syringe with needle in order to successfully draw up the insulin out of the vial and administer it. *Talk with your provider about what size syringe/needle you will be using to draw up and administer your insulin

Insulin Storage/Expiration Dates

Insulins can expire at different times depending on their current status, including temperature and first use date.

All unopened insulins that are stored in the refrigerator are good until the labeled expiration date imprinted by the manufacturer.

Once opened, most insulin vials or pens last up to 28 days inside or outside the fridge. The expiration can vary from product to product.

Insulin VIALS Expiration Dates

Insulin Type
(Opened) Stored at room temp or refrigerator
Insulin Aspart (Novolog, Fiasp)
28 days
Insulin Lispro (Humalog, Admelog, Lyumjev)
28 days
Insulin Glulisine (Apidra)
28 days
Insulin Regular (Humulin R, Novolin R)
Humulin R: 31 days Novolin R: 42 days
Insulin NPH (Humulin N, Novolin N)
Humulin N: 31 days Novolin N: 42 days
Insulin Glargine (Lantus, Semglee)
28 days
Insulin Detemir (Levemir)
42 days
Insulin Degludec (Tresiba)
56 days
Humalog Mix 75/25
28 days
Humalog Mix 50/50
28 days
Humulin 70/30, Novolin 70/30
Humulin 70/30: 31 days Novolin 70/30: 42 days
Novolog Mix 70/30
28 days

Forms and Documents

Enrollment Form for Elixir Mail Order

HIPAA & Designation of Authorized Party Forms

Appoint a Representative

This form is used to to provide the person named authority to access my Protected Health Information (PHI) to assist in my treatment and/or payment for that treatment. Select the link below to download the Designation of Authorized Party Form in your preferred language:

This form is used to acknowledge the use and disclosure of my personal protected health information for the purposes of treatment, payment and healthcare operations.

Release Protected Health Records (Authorization or Revocation)

This form allows you to authorize - or revoke the authorization of - the release of your protected records to a named party such as a family member, health aid, doctor's office, or pharmacy.

Prescription Request Form

Your Rights and Responsibilities

Proper Medication Disposal and Handling

Download tips on proper medication disposal and handling.

Please note that by clicking these links, you may be leaving the Elixir website.

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