Patients

We help personal injury patients get their prescriptions quickly.

Get Started Now – 2 Simple Steps

Receive Your Medications with ZERO Out-of-Pocket Costs

Step 1

Fill out the form below. We'll contact you soon.

Name(Required)

First Last

Date of Accident(Required)

Date of Birth(Required)

Patient Phone(Required)

Patient Email

Attorney Firm(Required)

Attorney Name

Case Manager

Physician Name/Practice

Choose Your Pharmacy(Required)

Name

This field is for validation purposes and should be left unchanged.

Receive Your Medications with ZERO Out-of-Pocket Costs

Get Started Now

Step 1

Choose Your Pharmacy

Fill out the form below. We'll contact you soon.

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Step 2

Pick Up Your Meds

— or —

Get FREE Delivery

After receiving your info, we'll contact you. Then, we'll schedule your FREE prescription delivery or pick-up from your chosen pharmacy.

Step 2

Pick Up Your Meds

— or —

Get them Delivered for FREE

After receiving your info, we'll contact you. Then, we'll schedule your FREE prescription delivery or pick-up from your chosen pharmacy.