CHOOSE A PLAN THAT BEST SUITS YOUR PRESCRIPTION MEDICATION NEEDS!
Family
Family$29.95
Single$19.95
Thank you for considering our new revolutionary pharmacy program My Free Pharmacy, to get signed up, simply fill out the form below and checkout through our secure payment gateway. If you have any questions or concerns, please call our customer service team at: 1.800.974.7036

ENROLLEE DETAILS










ADDITIONAL INFORMATION





Do You Have a Spouse?

Your Order
PRODUCT
SUBTOTAL
Membership
$29.95 / month
SUBTOTAL
$29.95 - $ Discount
TOTAL
$29.95
RECURRING TOTALS
(
SUBTOTAL
$29.95 / month
RECURRING TOTAL
$29.95 / month
(Dynamic term date)
Credit Card
Pay with your credit card.

Cancel membership and recurring payments by contacting our customer service line at 1.800.974.7036. Unless you cancel at least 3 days before renewal date, membership will automatically renew and you authorize us without notice, except where required by law, to charge the payment method on file to collect applicable fees.

My Free Pharmacy may apply a cancellation fee up to $35.00 for any membership cancelled within the first 90 days of enrollment as permitted by applicable state and federal law.