Order Printed Materials

Please use our order form to order an enrollment kit for the PrescribaRx^SM Medicare Part D prescription drug plans. The kit includes an educational brochure, a Summary of Benefits and an enrollment form. You can select to receive a version of the PrescribaRx enrollment kit in either English or Spanish.

If you have trouble using the online form, please contact member services at 1-800-818-0007 8:00 a.m. to 8:00 p.m. in your local time zone (TTY users call 1-800-777-9083) every day.

• Order 2009 Print Materials
  
  
• Order 2010 Print Materials (will open in new browser window).