Pharmacy Rx-Pay Card approved in minutes!
- Get a free, no obligation quote
- Online application
- Instant approval if qualified
- Payment by Credit Card, Check or Automatic Check Withdrawal
- Print your ID card and benefit information upon completion
How It Works About the Companies Instant Approval Security & Privacy
This program is designed to educate you on the use of generic and other low cost brand name drugs as well as to help you find drugs within the same therapeutic class as a drug you may be currently taking. Most of all, this program is designed to save you money on your prescription drug costs.
Featuring...
- Available nationwide at over 42,000 pharmacies
- Prescription Drugs: $10 generic drugs, $20 brand name and select generic drugs, $50 brand name and select generic drugs, and brand named drugs at a special negotiated discount.
- Automatic Acceptance - no underwriting or health questions
- No time limits for pre-existing conditions
- No monthly or annual maximums
- No Age Limit
- Accept payment by: check, money order, MasterCard, Visa, Discover or automatic monthly bank draft
Eligibility:
You and your spouse, no age limit, and you and your spouse's unmarried dependent children under age 19. Children age 19 and over should apply separately. Child(ren) only under 19 (no adults will be using the card), listÊthe child's name and information as the applicant and the parent or legal guardian must sign the enrollment form. If there is more than one child to be covered, list the oldest as the applicant and the othersÊunder Children. (select member + children).
Effective Date Information
If payment by credit card; the plan can be effective as early as 12:01 a.m. two days after the transmission date. If payment by Check or Auto Check Withdrawal; the plan can become effective as early as 12:01 a.m. the day after payment is received. However, the applicant can choose a later effective date not to exceed 60 days from transmission date.
Managed By:
Rx Options, Inc.
Administered By:
Health Plan Administrators, Inc., Rockford, IL
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