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EMPLOYEE INFORMATION

This Drug Discount Program is a benefit for Lithia Employees and their immediate family members only. Eligible individuals include:

* Lithia Employees

* Their Spouse / Partner

* Their Children (includes Biological, Adopted, and Stepchildren)

* All Pets / Animals in the Household

Please provide the Lithia Employee's Full Name, Date of Birth, and Work Email in the sections below, to verify your registration.

YOUR INFORMATION

Please provide your information in the section below.

By checking the box above, I am indicating that I agree to the Privacy Policy and Terms of Use of the Pill Pals website. In addition, I have read the Electronic Signature Consent Statement, HIPAA Authorization & Disclosure, and Disclaimer pages.

By checking this box and signing up for texts, you consent to receive text messages (e.g. account notifications and status reminders). Consent is not a condition of purchase. Msg & data rates may apply. Message frequency varies. Unsubscribe at any time by replying STOP or clicking the unsubscribe button link (where available).

NOTE - Your One Time Passcode (OTP) will be sent to both your email and SMS Phone Number for your convenience