If you would like to register in the AcesoRx program by mail, please print and complete the following forms:
Registration Form (pdf) Privacy Acknowledgement
Mail completed forms along with your valid 90-day prescription and appropriate payment to:
Call 888.697.9646 and speak to one of our Prescription Savings Specialists. Monday - Friday
9:00 a.m. - 7:00 p.m. EST
Saturday 9:00 a.m. to 1:00 p.m. EST
Closed on major national holidays. |