For Individuals

ask a pharmacistDITCH THE COST. DITCH THE WEIGHT. DITCH THE STRESS. 

For a low, one time fee* you and your family can buy into a lifetime** of savings. Get medication delivered directly to your door without having to worry about renewing your subscription or recurring payments. Save the stress of paying every year for a Prescription Savings Club. Our Pharmacy Members get all their meds for discount prices. Pick your meds up in person, or add a small shipping fee for delivery.***.

This is NOT a recurring fee. This is a ONE TIME fee. Currently, the one time fee is $99.99.

Use the signup form below to get started!

 

Signup For An Individual Plan

Sign Up For Pill Pals
*
Choose A Username
Username can not be left blank.
Please enter valid data.
This username is already registered, please choose another one.
This username is invalid. Please enter a valid username.
*
Create A Password (at least 12 characters, one Uppercase letter, one Number, and one Special Character)
Password can not be left blank.
Please enter valid data.
Please enter at least 12 characters.
Please use atleast one lowercase character.
Please use atleast one uppercase character.
Please use atleast one numeric character.
Please use atleast one special character.
    Strength: Very Weak
    *
    Confirm Password
    Confirm Password can not be left blank.
    Passwords don't match.
    Passwords don't match.
    *
    Email Address
    Email Address can not be left blank.
    Please enter valid email address.
    Please enter valid email address.
    This email is already registered, please choose another one.
    *
    First Name
    First Name can not be left blank.
    Please enter valid data.
    This first name is invalid. Please enter a valid first name.
    *
    Middle Name
    Text field can not be left blank.
    Please enter valid data.
    *
    Last Name
    Last Name can not be left blank.
    Please enter valid data.
    This last name is invalid. Please enter a valid last name.
    *
    Date of Birth (DD/MM/YYYY) For example, December 25, 2021 is 25/12/2021
    Please select date.
    Invalid Date.
    Race / Ethnicity - Please provide us with this information so that we can manage your care. Some drugs may have variable effects in different racial/ethnic groups.
    Caucasian / WhiteBlack / African AmericanAmerican Indian / Alaska NativeHispanic / LatinoAsianNative Hawaiian or Other Pacific Islander
    Please check atleast one option.
    Please enter valid data.
    *
    Biological Gender
    MaleFemale
    Please select one.
    Please enter valid data.
    *
    Are you currently pregnant?
    YesNo
    Please select one option.
    Please enter valid data.
    If YES, when is your due date? (DD/MM/YYYY) For example, December 25, 2021 is 25/12/2021
    Please select date.
    Invalid Date.
    *
    Do you have any allergies?
    YesNo
    Please select one option.
    Please enter valid data.
    If YES, please list all allergies below:
    This Field can not be left blank.
    Please enter valid data.
    *
    Preferred Language (e.g. English)
    Text field can not be left blank.
    Please enter valid data.
    *
    Country / Region
    Country/RegionAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongoCosta RicaCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFijiFinlandFranceFrench GuianaFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorwayNorthern Mariana IslandsOmanPakistanPalauPalestinePanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarReunion IslandRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbia and MontenegroSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwe
    Please select atleast one option.
    Please enter valid data.
    *
    Address Line 1
    Text field can not be left blank.
    Please enter valid data.
    Address Line 2
    Text field can not be left blank.
    Please enter valid data.
    *
    City
    Text field can not be left blank.
    Please enter valid data.
    *
    State / Region
    Text field can not be left blank.
    Please enter valid data.
    *
    Zip / Postal Code
    Text field can not be left blank.
    Please enter valid data.
    Were you referred by a friend? Enter their Name and Email Address below:
    This Field can not be left blank.
    Please enter valid data.
    *
    Agree To The Terms
    I Agree
    Please check atleast one option.
    Please enter valid data.

    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.

    Select Your Payment Method
    How you want to pay?
    Payment Summary

    Your currently selected plan : , Plan Amount :
    Coupon Discount Amount : , Final Payable Amount:
    Submit

    * Fee is “per patient”

    ** For the life of the company or the patient; whichever comes first. Minimum 5 years of operation.

    ** Price + Handling and/or Shipping

    Pill Pals EXPRESS Pharmacy

    FREE
    VIEW