Global Rx Management

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In partnership with Global Rx Management

Welcome to Global Rx Management. Global Rx Management in partnership with RxManage has been authorized by Frontier Health (TSC) to offer an additional prescription benefit option. Please complete the form below to sign up for your Global Rx Management account.

General details

First name

Last name

Billing address

Copy billing address Delivery address

Medical details

Date of birth

Height

Weight

Height and weight are not required for customers over 12 years old.

Sex

Female

Male

Are you a smoker?

Yes

Drug allergies

Please enter "None" if you have no drug allergies.

Current medical conditions

Please enter "None" if you have no current medical conditions.

Current medications and supplements

Please enter "None" if you are not currently taking any medications or supplements.

Contact details

Home phone

Mobile phone

Please enter at least one phone number.

Contact preferences

How would you prefer to be contacted?

Home phone

Mobile phone

When we automatically refill your orders, how would you prefer to be contacted?

Home phone

Mobile phone (call)

Mobile phone (SMS)

Would you like to receive emails when your orders are placed (excluding automatic refills)?

Yes

Would you like to receive emails when your orders are shipped?

Yes

Would you like to receive formulary update emails?

Yes

Password

Please choose a password with at least 8 characters.

Need help? Email support.