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).
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