AARP Pharmacy Services
Shop & Save on Prescription Drugs AARP Pharmacy Medicare Medical Supplies
MembeRx Choice®
Online Enrollment Form
Congratulations! By joining MembeRx Choice® for per year, you can save up to 53% on top selling prescriptions. It is easy to use at over 56,000 participating neighborhood pharmacies or when you order through our convenient mail order service. Membership in AARP is required to join MembeRx Choice®. For information on joining AARP, call toll-free 1-866-507-9622.
Satisfaction Guaranteed! If you are not completely satisfied, we'll refund
your MembeRx Choice® membership fee.
GENERAL INFORMATION
Member First Name
Member Last Name
Member Middle Initial
Member Date of Birth / /   (mm/dd/yyyy)

Member Gender

AARP Membership Number
(10 digits required)
  How to find your
AARP membership number
Spouse First Name
Spouse Last Name
Spouse Middle Initial
Spouse Date of Birth / /   (mm/dd/yyyy)
Spouse Gender

Street Address
City
State
Zip Code
E-Mail Address
Phone Number


BILLING INFORMATION
Payment Type
Card Holder's Name
Credit Card Number
Credit Card Expiration Date
DEPARTMENT  (Optional)      What is this?
Enter your Department
   I give United HealthCare Insurance Company (United), its affiliates and vendors consent to use and disclose my personal and health information as necessary to administer AARP Pharmacy Services. I understand that this administration includes, but is not limited to, filling prescriptions, processing orders, providing customer service, performing drug interaction reviews, and marketing for the AARP Pharmacy Services. I understand that this consent does not give United permission to sell my personal or health information.
To Join MembeRx Choice® submit form here...

These are not insurance products.

*For Prescription Discount Card Services
United HealthCare Insurance Company (United) provides AARP Pharmacy Services through its subsidiary United HealthCare Products, LLC and contracts with licensed pharmacy vendors, including Express Scripts, Inc., to provide pharmacy services. This is not an insurance plan and may be discontinued at any time. All decisions about medications are between you and your health care provider. Products or services that are reimbursable by Medicare are not available on a discounted or complimentary basis. United pays a license fee to AARP and its affiliate for use of the AARP trademark and other services. Amounts paid are used for the general purposes of AARP and its members. AARP Pharmacy Services is not a licensed pharmacy.

**For Medical Supply Services
AARP Health is a collection of health related products, services and insurance programs available to AARP members. Neither AARP nor its affiliates are the provider. AARP contracts with providers to make services available to AARP members.

AARP does not make health recommendations for individuals. You are strongly encouraged to evaluate your needs before making any decisions that impact your health.

AARP Medical Supply Services is provided by Prescription Solutions, the licensed pharmacy approved to provide Medicare-reimbursed medical supplies. Prescription Solutions is an affiliate of United HealthCare Insurance Company (United). United pays a fee to AARP and its affiliate for use of the AARP trademark and other services. Amounts paid are used for the general purposes of AARP and its members.

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