Please read our Terms and Conditions.

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By joining Prescriptions Plus; I agree to, understand and authorize the following:

A. Assignment of my Medicare, Medicaid, Medicare Supplemental or other insurance benefits (payments) to Prescriptions Plus Pharmacy for products, equipment or medications furnished to me by Prescriptions Plus Pharmacy.

B. Prescriptions Plus Pharmacy to directly submit claims on my behalf to Medicare, Medicaid, Medicare Supplemental, Employer Sponsored or any other insurer(s) and/or their agents or assigns for products, equipment or medications furnished to me by Prescriptions Plus Pharmacy.

C. Prescriptions Plus Pharmacy to request, obtain and use my medical or other information as required, to verify medical necessity and process my order for products, equipment or medications, determine my insurance eligibility, coverage and benefits, submit claims for payment and/or respond to insurer inquiries.

D. Prescriptions Plus Pharmacy to release information in their files to their contracted agents, my physician(s), caregiver(s), Medicare, Medicaid, Medicare Supplemental, Employer Sponsored or any other insurers and/or their agents or assigns for purposes of managing my account. Prescriptions Plus Pharmacy will never sell, release or provide your personal information to anyone other than as specified.

E. Prescriptions Plus Pharmacy and their agents or assigns to contact me by telephone, regular mail, Email or facsimile regarding my account and order(s) for medical products, equipment or medications and to offer or discuss other products and services that Prescriptions Plus Pharmacy provides.

F. To pay all amounts owed by me that are not covered by my insurer(s) and for which I am responsible according to my insurance/benefit plan’s participation criteria.