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To see a very short video tutorial on how to sign up as a new user follow this link. |
1. Necessary Information
The following information is the minimum information we will need to get the request started:
- The patient's name
- Phone number (or other contact method such as email)
- The drug
2. Helpful Information
The following information is not required, but can be very helpful in finding the best solution for the patient.
- Copay amount
- Deductible amount
- Insurance type (e.g. Medicare,
