Please use the form below if things did not go as expected at the pharmacy. If an error was made in pricing, the pharmacy can reimburse you. The time frame is dictated by the pharmacy, but is typically 7-14 days.

We will need you to furnish the following information so that we may research your claim problem. If you have completed the form, please do not leave a voicemail message unless you have not heard a response in 48 hours.