CHOOSE A PLAN THAT BEST SUITS YOUR PRESCRIPTION MEDICATION NEEDS!
Family
Family$29.95
Single $19.95
Thank you for considering our new revolutionary pharmacy program America First Pharmacy, to get signed up, simply fill out the form below and checkout through our secure payment gateway. If you have any questions or concerns, please call our customer service team at: 800-257-4596

ENROLLEE DETAILS










ADDITIONAL INFORMATION




(Must be at least 18 years old)


Do You Have a Spouse?

Your Order
PRODUCT
SUBTOTAL
Membership
$29.95 / month
SUBTOTAL
$29.95 - $ Discount
TOTAL
$29.95
RECURRING TOTALS
(
SUBTOTAL
$29.95 / month
RECURRING TOTAL
$29.95 / month
(Dynamic term date)
Credit Card
Pay with your credit card.