Enter your full name below

Your Walk-In Rx Pharmacy, Diabetes & Hearing Discount Plan

Present to pharmacy for new and refill prescriptions.

Front of Rx Card

Cut Along Dotted Line and fold in the middle.
Laminate to increase durability

Back of Rx Card

Rx Help For You
Member Questions Call: 888-636-2378
Pharmacy Help Desk: 800-329-0988

Name:_______________________________________

ID#: ___ ___ ___ ___ ___ ___ ___ ___ ___
Rx Plan Group #: SBGM0166 Coverage: Family
NOT AN INSURANCE PROGRAM
Pharmacist Instruction: Process claims through Pharmacy Data Management (PDM) using
Processor Control No: URX001
Processor ID:/BIN No: 610020

Diabetes Management Plan &
Hearing Services Benefit

Diabetes Management & Supplies Savings:
800-566-9633, M-F 8:30am - 6:00pm EST
Website: www.2locatediabetesplan.com

Hearing Services: 866-377-4327, 8am - 5pm MST
M-F to speak with a customer service representative.
Website: www.hearingplan.com

Pharmacy Help Desk Inquiries: 800-329-0988

Over 35,000 top name chain and private pharmacies to choose from.

Rx Card Advantages - Savings of 10% - 65%:

	Savings Average between 18% to 25% off regular prices at walk in pharmacies		Immediate Savings on Generic and Brand Name Medications
	Savings at Point of Purchase		No Limit on Usage
	No Income or Health Restrictions		Family Card Includes Dependants
	No Waiting Periods		No Claim Forms

Using your WALK-IN Pharmacy card:

Locate a convenient pharmacy from the list on this page.
On the ID# line, insert any unique 9 digit number, which will become your ID#. Do not use your social security number.
Present your Rx card on each visit to insure you will receive best pricing on all your brand and generic drugs at the point of purchase. Some local pharmacies may already be pricing their high volume prescriptions with significant discounts, so in some cases you prescription cost may not be less than before. You will always pay the lowest price available each time you buy your medications. Your local pharmacy cannot give you plan price quotes over the phone.
If you currently have another Rx card, you may ask your pharmacist to compare best available pricing at the time you are filling a prescription. Rx programs may not be used together for same purchase. Use this Rx card for yourself, dependents, parents, and grandparents.
Your pharmacist cannot give you pricing until you present your card at the pharmacy, nor can our Member Service Number provide you with pricing for the Walk-In Pharmacy.

Participating pharmacies include:

ACME, Albertson's, A&P Foodmart Pharmacies, Arbor drugs, Big Bear, Brooks, Brookshire, Buehler Pharmacies, Buehler Buy Low, CVS Corporation, Cub/Supervalu, Dillon Stores, Discount Drug Mart, Dominick's Pharmacies, Drug Castle, Drug Emporium, Duane Reade Pharmacies, Eckerd Drugs, Fagen Health Service, Fairview Health Service, Fred Meyer, Freds Pharmacy, Fruth Pharmacies, Fry's, Genovese Drug Stores, Giant Eagle, Hy-Vee Inc., Kmart, Kroger Pharmacies, Longs Pharmacies, Marc's, Maxidrug Inc., May's Pharmacies, Medic Drug Inc., Medicap Pharmacies, Medicine Shoppe, Meijer Pharmacies, OSCO, Pamida, Phar-Mor, Publix Pharmacies, Randall's, Rite Aid, Ritzman Pharmacies, Ronci Family Drug, Safeway, Sav-Mor Drug Stores, Shopko, Shop-Rite Supermarkets, Shaws, Shop-Rite, Smith's, Snyder Drug Stores, Spartan Foods, Stop and Shop Pharmacies, Strategic Health Alliances, Super D Drugs, Target, Tom Thumb, Tops Market, Von's, Wal-Mart, and Winn Dixie Pharmacies

*Pharmacies are subject to change without notice.