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Population Health Contact Form

Experience better health with SelectRx.

SelectRx is a pharmacy specializing in medication management that can simplify the pharmacy experience from start to finish. We’ll ensure you’re taking the right medications at the right time with our prefilled medication packets and consistent follow-up with our team of trained professionals—for free.

By completing this form, a member of our team will reach out to get you started.


Experience better health with SelectRx.

SelectRx is a pharmacy specializing in medication management that can simplify the pharmacy experience from start to finish. We’ll ensure you’re taking the right medications at the right time with our prefilled medication packets and consistent follow-up with our team of trained professionals—for free.

By completing this form, a member of our team will reach out to get you started.


How many prescription medications do you currently take?

By clicking “Next”, you agree to let SelectRx send you info about our services and benefits.

By clicking the Submit button above and submitting your online request to SelectRx, you are agreeing by your electronic signature to give SelectRx, its insurance agency affiliates, and its service provider affiliates, which transact business under names and brands different than SelectRx your prior express written consent and continuing established business relationship permission to call you at each cell and residential phone number you provided in your online request, and any other subscriber or user of these phone numbers, using an automatic dialing system and pre-recorded and artificial voice messages any time from and after your inquiry to SelectRx for purposes of all federal and state telemarketing and Do-Not-Call laws and your prior affirmative written consent to email you at the email address(s) you provided in your online request, in each case to market our products and services to you and for all other purposes. Your consent is not required to receive information or purchase anything from SelectRx, and you may instead reach us by phone at XXX-XXX-XXXX.

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