Prescription Card Services
Applying for the Together Rx Access® Card is free and takes just a few minutes. You may apply:
1. Online now, using the checklist below.
2. Through the mail, by printing an application at left.
3. Or over the phone, at 1-800-444-4106.
If you enroll online or by telephone, you can begin saving today by using your member ID number at participating pharmacies within 2 hours of enrollment.

No fees or usage limits
 With the Together Rx Access Card, there are no enrollment, monthly, or hidden fees, and no maximum or minimum limits.
Prescription Drug Card
   Printable application  


   Eligibility requirements
Eligible individuals meet all three of the following requirements: 
1. I am not eligible for Medicare.
2. I have no prescription drug      coverage of any kind.
3. My household income is equal      to or less than:
    - $45,000 for a single person
    - $60,000 for a family of two
    - $75,000 for a family of three
    - $90,000 for a family of four
    - $105,000 for a family of five
    Families of six or more and
    residents of Alaska and Hawaii
    should contact Together Rx
    Access at 1-800-444-4106.

   Not eligible?
You may qualify for other prescription savings. Visit pparx.org for details.

*Each cardholder’s savings depend on such factors as the particular drug purchased, amount purchased, and the pharmacy where purchased.
©2009 Together Rx Access, LLC. Together Rx Access and the Together Rx Access logo are trademarks of Together Rx Access, LLC.
Participating companies independently set the level of savings offered and the products included in the Program. Those decisions are subject to change.