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Forms For Download

Need Help Paying for Your Medications?

At RxPreferred, we know prescriptions can be costly, especially for many families on a fixed income. Fortunately, RxPreferred has a program to help reduce the financial burden of your prescription drug needs. By utilizing the RxPreferred Patient Assistance Program, you may be able to save additional money on your prescriptions. So get the peace of mind you deserve with RxPreferred.   

Fill out the form below to get more information.

Patient Assistance
Full Name

Ask a Pharmacist

If you need to ask a specific medication question, we provide direct access to qualified Pharmacists who can answer questions specific to your healthcare needs.  

Request a New Prescription Card

If you are a member and you have lost your prescription card, click below and we’ll send you a new one.

Member Forms For Download

Need Help Paying for Your Medications?

At RxPreferred, we know prescriptions can be costly, especially for many families on a fixed income. Fortunately, RxPreferred has a program to help reduce the financial burden of your prescription drug needs. By utilizing the RxPreferred Patient Assistance Program, you may be able to save additional money on your prescriptions. So get the peace of mind you deserve with RxPreferred.   

Fill out the form below to get more information.

Patient Assistance
Full Name

Ask a Pharmacist

If you need to ask a specific medication question, we provide direct access to qualified Pharmacists who can answer questions specific to your healthcare needs.  

Request a New Prescription Card

If you are a member and you have lost your prescription card, click below and we’ll send you a new one.