Transparency in Coverage

Machine Readable Files

RxDC

Use tab to navigate through the menu items.

Please fill out the following form
in order to participate in our activity.

First Name

Last Name

Email

Date of Birth

Have you been hospitalized in the last 12 months?

No

Yes

Are you suffering from a medical condition, illness, or injury?

No

Yes

If you answered yes to any question, please elaborate

Initials

I declare that the info I’ve provided is accurate & complete

Thanks for submitting!

PITTSBURGH

1910 Cochran Road

Manor Oak Two Suite 605

Pittsburgh, PA 15220

800-922-4966

KNOXVILLE

2607 Kingston Pike

Suite 190

Knoxville, TN 37919

800-762-8316

HARRISBURG

6345 Flank Drive

Suite 400
Harrisburg, PA 17112

717-652-8040

bottom of page