A Healthy CollaborationSM

Order Printed Materials

Please use our order form to order an enrollment kit for the PrescribaRxSM 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.

S5597_S5825_C0008_09P0043_v2 (09/2009) Last updated: 09/09/2022

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