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To order materials for those you serve, please fill out the
information below, and request the number of packets to the
left.
Name |
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Title |
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Affiliation |
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Address |
Street Address Only - No P.O. Boxes |
City |
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State |
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Zip |
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E-mail |
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Phone |
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What is the Together Rx Access® Card?
- A FREE prescription savings program for eligible
individuals and families who lack prescription drug coverage and are not eligible for Medicare
- Most cardholders save 25 to 40 percent* on brand-name
prescription products. Savings are also available on a wide range of generics. Medicines in the
Program include those used to treat asthma, chronic
pain, fibromyalgia, diabetes, depression, high
cholesterol, and many other common conditions. The
Together Rx Access Card is free to get and free to use.
- Instant savings, right at the pharmacy counter
How does someone qualify for the Card?
Individuals and families who meet all of the following requirements are eligible:
- No prescription drug coverage of any kind
- Not eligible for Medicare
- Household income limits† (example: not more than
$45,000 for a single person, or $90,000 for a family of
four)
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