Free RX Discount Card

Note: - After completing this form your Free Discount Pharmacy Card will load, simply print the card out and use it for RX discounts.

Your Name (required):


Your Email (required):

Your Age (required):

What type of policy are you interested in? (required)
Hold down ctrl key to select multiple's

Phone Number (Required):

Attention Medicare recipients: Extra help paying for prescription drugs is available, our agents
would be glad to assist you in applying for that help, please call us toll free at (855) 786-8343.

Please enter above code: (To prove you are human)

Attention Medicare Recipients: This is a solicitation of insurance. By providing this information, you agree that an authorized representative or licensed insurance agent/producer may
contact you by telephone, email or mail to answer
your questions or provide additional information about Medicare Advantage, Part D or Medicare Supplement Insurance plans.

Oklahoma Health Care Exchange LLC is not affiliated with Local, State or Federal entities, we are your leader in private option insurance.
Independent, Authorized Agent of BlueCross Blueshield of Oklahoma. Entering information in this website is a solicitation for insurance.
Hosted by Okie Net Web Hosting