FREE PRESCRIPTION CARD accepted nationwide at over 55,000 pharmacies including CVS, Walgreens, Walmart, Kroger, and more.

1. Free Prescription Card
Name:
Customer Number:FC395157 RxGRP:FC38 RxPCN:AG RxBIN:009265
By using this card the holder agrees to the terms under which it was issued.
Void where prohibited.
Giving Back To The Community By Improving Public Health
NOTICE TO PHARMACIES
Covered prescriptions may be lled at any participating pharmacy. For more
information regarding claims transmission or becoming a participating pharmacy,
please call the Pharmacy HelpLine at 1(866) 778-7526. THIS IS NOT INSURANCE.
ACTIVATE PRIOR TO USE! (See Back)

2. FREE PRESCRIPTION CARD:
• Accepted Nationwide at over 55,000 Pharmacies Don’t
including CVS, Walgreens, WalMart, Kroger, and More!
SaviMiss Out
• Savings on both Generic and Name-Brand Medications!
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• Call now and start saving immediately! Ho he Entir
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Call Now to activate your FREE Prescription Card! old!
888-284-8381
Activation Hours: Mon. - Thur. 8 - 7 & Fri. 8 - 1, (CST)
PTON CARD: Your Activation Code: 43848
Marketing Representative Name: Daniel Mejia
www.dmejia.awiscard.com
www.dmejia.getfamilycare.com
Name and Reference Number
Giving Back To The Community By Improving Public Health