How to Enroll

Use our online enrollment form to begin the process.

Once completed, a customer service representative will be in contact with your pharmacy. For questions during enrollment, you may contact us at the toll free number (855) 489-3599
(8:30am - 5:30pm M-F CST).

Enroll Now

Click here to continue an enrollment you already started.

Completed and signed documents can be returned here:

P.O. Box 12730
Overland Park, KS 66282

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