
| Return
to Plan Overview
DrugBenefit Home Page 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.
DrugBenefit.com 2801 W Ave T Temple, Tx 76504 Fax: (800) 810-3519 Phone: (800) 650-1817
|