
Dear Patients and Healthcare Providers:
Welcome to Prime Aid Pharmacy. Whether this is your first order or you are long-term customer, please take a moment to review this booklet and the information enclosed regarding Prime Aid Specialty Pharmacy Services.
Please review the enclosed material. Action steps are required for all new customers:
1.Please sign and return the Prime Aid’s PRIVACY NOTICE in the postage paid envelope provided.
If you are a patient:
2. Please sign and return the Assignment of Benefits form in the envelope provided.
3. Patient Satisfaction Form / Complaint Form
4. Please sign and return the Patient Consent to Share Information form in the envelope provided.
Prime Aid Pharmacy’s mission is: we are an independently held healthcare company dedicated to being a customer focused and innovative partner, providing medication management and clinical services in a caring, cost-effective, supportive environment; keeping patients healthier longer…one patient at a time. We are Your Specialty Pharmacy!
If you have any questions or special requests for your prescriptions, please contact Customer Service at 800-731-4553. If you have after hours concerns about your medication or side effects, please call the After-Hours Hotline at 800-731-4553.
Sincerely,
Prime Aid Pharmacy Team
Welcome Package
Crohn's Disease Enrollment Form
Dermatology Enrollment Form
Fertility Care Program Enrollment Form
Gastroenterology Enrollment Form
Hepatitis C & B Hepatitis Enrollment Form
HIV Enrollment Form
Hepatitis C Enrollment Form
Oncology Oral Medication Enrollment Form
RX Rheumatology Enrollment Form
Transplant Enrollment Form
MS Enrollment Form
Hemophilia Enrollment Form
