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 Click Here to register for Mail Order and start receiving your medications via mail.
If you'd like to receive your medications via mail order, delivered right to your doorstep, download the form provided, include the original prescription from your doctor and mail both form and prescription to the address mentioned in the form. Your prescription will be filled and mailed to you within 20 business days.

MAIL ORDER REFILL: Registered Users, to order your refill, complete the form below and click submit.
* Indicates a required field.
First Name*: Last Name*:
Telephone Number*: Email*:
Date Of Birth*: Has Your Address Changed?*:
Prescription #1: Drug Name #1:
Prescription #2: Drug Name #2:
Prescription #3: Drug Name #3:
Prescription #4: Drug Name #4:
 
 
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This plan is NOT insurance. The discount card program contains a 30-day cancellation period. The plan provides discounts at certain healthcare providers of medical services. The plan does not make payments directly to the providers of medical services. The plan member is obligated to pay for all healthcare services but will receive a discount from those healthcare providers who have contracted with the discount plan organization. Maryland, North Dakota, Oklahoma, South Carolina & South Dakota residents: Members receive a full refund of membership fees, excluding registration fee, if the membership is cancelled within the first 30 days after receipt of membership materials. Arkansas and Tennessee residents: A refund of all fees will be issued if membership is cancelled within the first 30 days. The range of discounts for medical or other services provided under the plan varies depending on the type of provider and the service offered. Pharmacy discounts are NOT INSURANCE and are not intended as a substitute for insurance. The discount medical card program makes available, before purchase and upon request, a list of program providers, including the name, city, state, and specialty of each program provider located in the cardholder’s service area. Hospital Discounts NOT available in MD. Physician and hospital discounts are not available for Montana residents. Dental & Chiropractic Benefit not available to VT residents. Aetna Dental Access Disclosures: Actual costs and savings vary by provider and geographical area. According to the Aetna Enterprise Provider Database as of November 1, 2006. Discount Medical Plan Organization: HealthTran, LLC, 8300 E. Maplewood Ave., Suite 100, Greenwood Village, CO 80111.   © Copyright 2009 HealthTrans   Contact Us