The site will be down for maintenance for up to 2 hours starting at 5pm on Saturday December 3rd.

* = Required Form Fields

STEP 1: PATIENT INFORMATION


This security question will be used in the future if you forget your password.

Password Requirements

Your password must contain at least 6 characters, including at least 2 numbers and 2 letters. You may also use special characters ($, #, &, *, etc.) and spaces in your password.
 

STEP 2: ADDRESSES

Home

Why Isn't My State Listed

Pharmacy Advantage is licensed to dispense medications in most, but not all U.S. states. If your state is not listed here please call us at (800) 456-2112 to discuss your options.

Country Code

The country code is used for dialing numbers outside of the United States. Numbers inside of the United States have a country code of 1.

Second Home

If you have a second home that you want to use as a shipping or billing address you can add it here.
E.g. if you spend the most of the year in Michigan and winter in Florida put your Florida address here.

Why Isn't My State Listed

Pharmacy Advantage is licensed to dispense medications in most, but not all U.S. states. If your state is not listed here please call us at (800) 456-2112 to discuss your options.

Country Code

The country code is used for dialing numbers outside of the United States. Numbers inside of the United States have a country code of 1.

STEP 3: INSURANCE INFORMATION

STEP 4: PAYMENT INFORMATION

Method of Payment*

To set up a credit card on your account, please call our billing department at 800-456-2112, option 4.

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