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Prices subject to change. Site pricing does not reflect all available drugs or drug discounts. To get the most accurate price for your prescription, please visit your pharmacy.

RxBIN:
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RxBIN:
RxPCN:
RxGRP:
Auth #:

RxBIN:
RxPCN:
RxGRP:
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Select an option below to receive your discount card.

Please fill out your information in the fields below to receive your free discount card via email.

Please fill out your information in the fields below to generate your free discount card and start saving right away.

Present the following information to your pharmacist to save on your medication:

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Please call 1-877-422-7718 to sign up for Home Delivery.

Pageload Error: Drug not found

Sorry, we encountered an error returning pricing information for this drug. Please refresh and try again, or call OptumRx at 1-877-422-7718.

Sorry, we encountered an error returning pricing information for this drug.
Please refresh and try again, or call OptumRx at 1-877-422-7718.