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Pill Variety

Rx Drug Lookup Form

Rx Lookup Form

Please fill out this form with the prescriptions you currently take.

Contact me if you need assistance.

Call 818-835-8709

Are you open to having your prescriptions mailed to you, if it saves you additional money?
Rx Drug Search

Medication 1

Medication 2

Medication 3

Medication 4

Medication 5

Medication 6

Medication 7

Provider Information

Primary Provider

Comments/Additional Drugs or Doctors

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We do not offer every plan available in your area. Any information we provide is limited to those plans we do offer in your area. Currently we represent 11 organizations that offer 81 products in your area. Please contact Medicare.gov or 1-800-MEDICARE to get information on all of your options. This is a proprietary website and is not associated, endorsed or authorized by the Social Security Administration, the Department of Health and Human Services or the Center for Medicare and Medicaid Services. This site contains decision-support content and information about Medicare, services related to Medicare and services for people with Medicare. If you would like to find more information about the Medicare program please visit the Official U.S. Government Site for People with Medicare located at http://www.medicare.gov

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