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Prescription Card Program

WE NOW HAVE A NEW, FREE DISCOUNT RX CARD AVAILABLE TO YOU
JUST AS OUR WAY OF THANKING YOU FOR WORKING FOR PROTOCALL


For Your family – All family members are eligible to receive a free,
Discount RX Card!

Hundreds of Prescriptions - The card will offer you to discounts on hundreds of prescriptions filled at participating pharmacies!

90-Day supply – Saves you more- Your free membership in the RX savings plan lets you save even more when you use the Medicare approved mail order facility. You can increase your savings by ordering up to a 90-Day supply of your maintenance medication!

Participating Pharmacies - Locate participating pharmacies and actual discounts offered via Internet or by calling a friendly customer service consultant 8am-5pm Monday through Friday! 1-866-970-2121

How do you sign up? - It's easy, if you are interested in signing up, fill out the form below and give it to your staffing coordinator and he or she will be glad to process your application!

About the Prescription Card Program

Free Discount Prescription Plan
Offered through Agelity
First Name:
Last Name:
Middle Initial:
Suffix:
Address1:
Address2:
City:
State:
Zip Code:
E-Mail:
Home Phone:
Work Phone:
Cell Phone:

Date of Birth: (mm/dd/yy)

Gender:

* If you want to add additional family members, please use a new form for each.
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EOE (Equal Opportunity Employer)