•   Complete and submit the ON-LINE ENROLLMENT FORM below and a company representative will contact you within 24-hours.

•   Click Here for a printable version of the standard enrollment form. Complete the form and fax it to Mail-Meds Clinical Pharmacy at (855) 523-0910.

•   Call the Mail-Meds Clinical Pharmacy patient enrollment department at (800) 939-2022, Choose Option 3. One of our Health Benefits Coordinators will be happy to assist you.