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4D Members utilizing RX Solutions Mail Order

(Please enroll with Rx Solutions pharmacy prior to
registering on its website and using its web-based services
)


Prescription Solutions Mail Order Pharmacy Website
 


If you require a prescription order form, please download the form by clicking on the link below and then print it. Complete the form and return it to the address on the form

Prescription Order Form
(.pdf 1030kb Adobe Acrobat File)
This may take a few seconds to download

 


For each new prescription, we encourage you to obtain your first fill at a participating retail pharmacy.

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