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Get Started

You're just a few moments away from switching to a better, simpler pharmacy. Let's start with some contact information.
Have a question? Speak with a member of our pharmacy staff.
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Let's Start
First Name
Last Name
Email Address
Phone Number
How did you hear about Drug Mart?
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address

Your Address

We ship your medication right to your door. Where would you like to receive your shipment?
Have a question? Speak with a member of our pharmacy staff.
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Shipping
Street Address 1
Address Line 2
City
State
Zip Code

Please make sure this address matches your primary residence.

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about user

About You

As your new pharmacy, we need to know more about you and your health. We only use this information to provide you with the best service possible, and never share it with anyone else.
Have a question? Speak with a member of our pharmacy staff.
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Profile
Date of Birth
Gender
Medication Allergies
Health Conditions

Information on this site is protected with up to 256-bit SSL Encryption.

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doctor

Your Doctor

We reach out to your doctors to gather your prescription information. We also work with them to handle refills and any changes to your medication.
Have a question? Speak with a member of our pharmacy staff.
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Doctor & Pharmacy
Doctor's Name
Doctor's Phone Number
Name of Previous Pharmacy
Previous Pharmacy's Phone Number
Additional Doctors (Specialists)

It may save time later if you tell your doctor to update the pharmacy in your file.

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insurance plan

Insurance

Drug Mart accepts most major plans, including most forms of Medicare Part D. We also assist people in applying for prescription insurance and financial assistance programs.
Have a question? Speak with a member of our pharmacy staff.
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Add Insurance
Insurance ID Number
Rx BIN Number
Rx Group
Rx PCN
Insurance Phone Number

Leave this blank and click Next step to continue without insurance.

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pill bottle

Prescriptions

Add any medications your doctor has prescribed to you. We'll reach out to your previous pharmacy or your doctor to transfer your prescriptions to Drug Mart.
Have a question? Speak with a member of our pharmacy staff.
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Add Medications
Medication Name(s)
Message
Vitamins
Supplements

We're ready to work with you and your doctor to provide exceptional care.

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Congratulations!

Exceptional care begins here.

We have received your form submission. We will be in touch shortly!
Call us if you need immediate help.
Oops! Something went wrong while submitting the form. Please try again.
Have a question? Speak with a member of our pharmacy staff.
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