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Review my prescriptions without an appointment 

1 

After Submission, you will receive a confirmation email

IF anything changes after initial submission, please select a new form or, submit a new form for review!

2

We will reach out after October 1st. 

You will receive an email after October 1st with a suggestion to either stay with your current plan, or switch plans for the next year!

Review Without Appointment 

Thanks for submitting!

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