LibertyRx Card

No Age Limit
No Deductible
No Monthly Caps
No Claims Forms
No Limit on Use
No Waiting Periods
No Medical Questions

$30.00 - Per Month
 Includes Family


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Home Delivery Order Form

Online Application
100% Secure

  1. Complete the online form.

  2. Print out the confirmation page with your new Liberty ID number.

  3. Print out the home delivery order form.

  4. Call the phone number on the form with your Liberty ID number.

  5. Customer sales representative will assist you with any questions.

  6. Mail or Fax the form and receive your medication(s) in 7 to 10 Days

Team Liberty Benefits. All rights reserved 2012