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Complete
the
easy enrollment form on-line without
obligation.
Med Advocates will contact you to discuss your needs and answer your questions.
If you choose to enroll we will be happy to assist you.
Provide copies of documents or information as requested by Med Advocates.
Med Advocates prepares your applications, requests your prescriptions from your doctor or doctors, reviews the final applications and sends them to the drug company assistance programs.
We automatically request refills of your medications and renew your enrollment in each Patient Assistance Program as long as your information and payments are current.
If you have a new prescription, a change in a medication or a new doctor, just let us know.

6233 Bankers Rd 16A
Racine WI 53403
Phone Toll Free: 1-800-273-1842
Fax Toll Free: 1-800-491-9840
www.medadvocates.com










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