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  • 8008908170 Form

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Please call 1-800-890-8170 for more information. Use the Sav-Rx mail service pharmacy to obtain lower prices on many prescriptions. Prescriptions Refills by Fax Your doctor may fax your prescription to Sav-Rx. Our number is 888-810-1394. Refill by phone with credit card Call Sav-Rx Customer Service 1-800-890-8170. Please have your prescription number s and credit card ready. O. Box 8 Fremont NE 68026 For Refills or Customer Service 1-800-890-8170.

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How to fill out the 8008908170 Form online

Filling out the 8008908170 Form online is an essential step for accessing your prescription drug benefits through the Sav-Rx Advantage program. This guide will provide you with clear instructions on how to complete the form effectively, ensuring that you receive the medications you need at a lower cost.

Follow the steps to complete the 8008908170 Form successfully.

  1. Click ‘Get Form’ button to obtain the form and open it in the online editor.
  2. Start by providing your personal information in the Member Information section. Fill in your full name, member number, date of birth, and gender. Make sure to use clear handwriting if you are printing the form.
  3. Complete the Address section with your current address, city, state, and zip code. Ensure that your contact information is accurate, including your daytime and evening phone numbers.
  4. Provide your physician's information by entering their name and phone number in the designated fields. This assists the Sav-Rx team in verifying your prescriptions.
  5. If you are adding dependents, complete the Dependent Information section for each individual. Input their name, member number, date of birth, gender, and contact details.
  6. Indicate your payment method. Choose between enclosing a check or money order or providing credit card details, ensuring to include the cardholder's name, credit card number, and expiration date.
  7. Review the section regarding generic drug replacements. If you prefer to receive brand drugs, check the appropriate box and understand that you will be responsible for the full cost.
  8. Double-check all information for accuracy before saving your changes. Once you are satisfied, you may download, print, or share the completed form as needed.

Start filling out your 8008908170 Form online to take advantage of your prescription benefits today.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232