Fill New Prescriptions

Already have a paper prescription from your doctor? Print, fill out and mail us the Prescription Order Form with the paper prescription attached.

Prescription Order Form Prescription Order Form
Prescription Order Form(Spanish) Prescription Order Form(Spanish)

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Need a new prescription? Ask your doctor to print, fill out and fax us the Prescriber Fax Form

Prescriber Fax Form Prescriber Fax Form
Prescriber Fax Form (Spanish) Prescriber Fax Form (Spanish)

Register for Home Delivery

Want to register for AllianceRx Walgreens Prime home delivery online? Register now ›


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Home Delivery Registration Form Home Delivery Registration Form
Home Delivery Registration Form (Spanish) Home Delivery Registration Form (Spanish)

Welcome Brochure

Download our welcome brochure for more information about AllianceRx Walgreens Prime home delivery.

Welcome to AllianceRx Walgreens Prime home delivery Welcome to AllianceRx Walgreens Prime home delivery
Welcome to AllianceRx Walgreens Prime home delivery (Spanish) Welcome to AllianceRx Walgreens Prime home delivery (Spanish)
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Who can participate in AllianceRx Walgreens Prime home delivery?

You and your family can participate if your insurance plan is included in this Walgreens program. Just contact your insurance company to see if you're eligible.

Benefits

  • Save on prescription co-pays
  • Receive a 90-day supply of your medication, or the maximum allowed by your plan
  • Access to expert pharmacist advice 24/7
  • Get maintenance medications conveniently delivered to the location of your choice
  • Reduce the risk of running out or missing a dose of your prescription medication
  • All prescriptions are eligible for free standard shipping

Online Features

  • Add family members
  • Order home delivery & retail prescription refills
  • Update and manage insurance information
  • Set up Auto Refill to refill prescriptions automatically, if eligible under insurance plan
  • View order status
URAC Accredited Mail Service Pharmacy. Expires 07/01/2021.