Pharmacy Advantage

Pharmacy Advantage

Customer Service Hours
Monday - Friday: 7am - 7pm (EST)
Saturday: 8am - 4pm (EST)
Closed: Sunday & National Holidays
Phone: (800) 456-2112
After hours on–call services available

URAC Accredited

New Customer Enrollment

Once the enrollment form is completed and submitted a representative will contact you within 2 to 3 business days.

* = Required Form Fields

STEP 1: PATIENT INFORMATION





 





 

Please enter at least one phone number


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STEP 2: ADDRESSES

Home





 

Shipping





 

Billing





 

STEP 3: INSURANCE INFORMATION




 




 

STEP 4: PAYMENT INFORMATION

Method of Payment*
Credit Card (preferred for online mail order refills) Please Bill Me

 

We will call you to verify your payment information.

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