Order Printed Materials
Please use this form to order enrollment materials for the Community CCRxSM Medicare Part D health plans. If you have trouble with the form, please contact the pharmacy technical call center at (866) 684-5395 24 Hours a Day, 7 Days a Week.
Please note that some items have multiple versions, which vary by region. These items are shown under a heading for each state you choose below. Items which do not vary by region are included under the section called All Regions.