MyChoiceRx Program Agreement

Manufacturer agreements

I understand and agree that this Program Agreement takes effect at the time of payment (when you use/pay for any MCRx product). For the rest of the calendar year (date of payment to December 31, 2021), I will not use federal or state-funded prescription plan benefits for any subsequent purchase of the product that I purchased through MyChoiceRx.

I agree that I will not seek reimbursement from my prescription plan for any purchase through MyChoiceRx, or to count my payment against my deductible, co-insurance or out-of-pocket costs.