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Activate a Card
Let’s get started!
Answer the questions below to see if you are eligible for savings.
Step 1:
*Required Field
*Is this savings card for you or someone else? If you click Someone Else, you are confirming you have permission to request a card on their behalf.
This field is required.
*Do you or the patient have health insurance that is the sole or primary coverage for your prescription medicines?
This field is required.
*Are you or the patient enrolled in any state, federal, or government-funded medical or prescription benefit program, including but not limited to Medicare, Medicaid, Medigap, VA, DOD, TRICARE, or ADAP?
This field is required.
*Please enter the following information from the card you're trying to activate:
*Card ID (number found on the card)
This field is required.
Please enter a valid ID number (must be numeric).
We're sorry, something went wrong. Please try again or call 1‑844‑588‑3288 (toll free) for assistance.
We’re sorry, something went wrong. Talk one-on-one live with out access coordinators for help 1‑844‑588‑3288.
*Confirm Card ID
This field is required.
The ID number doesn’t match.
We're sorry, something went wrong. Please try again or call 1‑844‑588‑3288 (toll free) for assistance.
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