Simply fill out the form below providing your prescription list (read from the labels on the prescription bottles if you don't have a prepared list). Our agents will analyse all available Medicare Rx (PDP) plans in your zip code to find the lowest all-in cost Plan for you, which includes: plan premiums + deductibles + copays. You will receive back an email with these results and a link where you can order your optimal plan online.

PRESCRIPTION LIST REVIEW FOR LOWEST COST Rx PLAN

Prescription #1:

#1 - Dosage/Frequency

Prescription #2:

#2 - Dosage/Frequency

Prescription #3:

#3 - Dosage/Frequency

Prescription #4:

#4 - Dosage/Frequency

Prescription #5:

#5 - Dosage/Frequency

Prescription #6:

#6 - Dosage/Frequency

Prescription #7:

#7 - Dosage/Frequency

Prescription #8:

#8 - Dosage/Frequency

Prescription #9:

#9 - Dosage/Frequency

Prescription #10:

#10 - Dosage/Frequency

Prescription #11:

11 - Dosage/Frequency

Prescription #12:

#12 - Dosage/Frequency

Prescription #13:

#13 - Dosage/Frequency

Prescription #14:

#14 - Dosage/Frequency

Prescription #15:

#15 - Dosage/Frequency

First Name:*

Middle Name:

Last Name:*

Date of Birth*

Telephone:*

Email:*

County:*

Zip Code:*

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Your information is governed by our Privacy Policy. By entering your name and information above and clicking this button, you are consenting to receive emails or calls regarding your Medicare Advantage, Medicare Supplement, and Prescription Drug Plan options (at any phone number or email address you provide) from an United Medicare, Inc. professional licensed insurance agent.