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Complete this form for timely help with your Walgreens contact lens prescription question(s) or comment(s).

To: Walgreens  |  Subject: Products › Contact Lenses › Prescription Issues

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Note: Please do not submit confidential or sensitive information such as medical or prescription information, refill requests, social security numbers, or credit card numbers on this form.

Your contact information


*It may be necessary in some cases for Customer Service to contact the customer in order to complete a request.

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We will email you back within one business day. If your question is clinical, we will have a pharmacist call you back.

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Any clinical questions will require a phone number for the pharmacist to contact you.

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Product information


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Reason(s) for contact today (optional)


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Card Information


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Store Information


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Primary Cardholder information


I am the Primary Cardholder

Please enter you first name.

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(Optional)

Please enter a valid group number. Your answer can only contain letters and/or numbers.

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Please enter your Rx BIN.

Please enter a valid RXBin. Your answer can only contain letters and/or numbers.

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Please enter your Rx Processor Control Number.

Please enter a valid RXPCN. Your answer can only contain letters and/or numbers.

(Optional)

Please enter a valid input code.

Please select a store


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Walgreens Customer Service

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We welcome your comments and feedback. However, please remember any message or other communication sent to Walgreen Co. becomes the exclusive intellectual property of Walgreen Co. and does not entitle the author to any form of compensation.

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