First, check with your employer or health plan to see if you are eligible. Then, to start mail-order service, you will need a 90-day-supply prescription(s) from your doctor. We will need to know your allergies, payment information and shipping address. Click on the Register Now button to begin.
You have several options for getting your prescription(s) to us:
From this Website
After you create an online account, you can send us a new prescription(s) or transfer current prescription(s) from a retail pharmacy. Choose "Request or Submit a New Prescription" at the top of the "My Medications" screen and follow steps.
From Your Doctor
Ask your provider to send your prescription(s) to us via e-Prescribing, or fax to us at (888) 783-1773.
Mail Us Your Prescription
First, print and complete this order form::
Download Order Form
Second, print and complete this HIPAA release form:
Download HIPAA Release Form
Send both forms, along with your prescription(s), to:
MedImpact Direct Mail®
PO Box 51580
Phoenix, AZ 85076-1580
If you choose standard shipping, you should receive your medicine(s) within 10 days from the date we receive the order.
MedImpact Direct Mail® is committed to patient safety. When we receive a new prescription directly from your doctor without your prior consent, we ask you to confirm the need for the shipment by text message, email or phone call.
You can order refills for your medicine(s) once your first prescription has been filled.
Download the MedImpact Direct Mail® brochure for more registration and ordering instructions.
View our Frequently asked questions.