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Order Your Benefit Card Now!

Only $ 15.00 for 12 Full Months

 

Click on the order drug card tab below.

Print the form using the "print" button located at the top of your internet browser

Forward the enrollment form by mail or fax to the address or fax number below. Rx benefit cards, instructions, and patient information will be mailed upon receipt of payment.

 

Order Drug Card!

 

DrugBenefit.com

2801 W Ave T

Temple, Tx 76504

Fax: (800) 810-3519

Phone: (800) 650-1817