Tuesday, November 25, 2014

Simple Savings Card

Request A Card

Don't forget - The Simple Savings card is completely free of charge and a single card covers your entire household.


Cardholder Information
First Name  
Middle Initial  
Last Name  
Date of Birth MM     DD      YYYY
/  /
Mailing Address
Address  
City  
State  
Zip Code
Cardholder Contact Information
This information will only be used to contact or notify the cardholder in the event there are problems delivering the requested cards or if changes occur that might effect the use of the cards.
Phone Number (ex. 555-555-5555)
 
Email Address  
 

Simple Savings Card Benefits

  • The Simple Savings Card is absolutely free of charge.
  • Over 60,000 participating pharmacies
  • Available for you and your entire household
  • Saves an average of 26% on prescriptions at your local pharmacy

Just a few examples of savings