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NACo Prescription Drug Discount Card Program

The National Association of Counties has started a prescription drug discount card program
to help consumers cope with the high price of prescription drugs.

This form will NOT start the program in your county, it will only let NACo know that your county is interested. You will be contacted once this form is processed.

Program contracts will be sent out when this form is complete. Please make sure you have filled out all the requested information to receive a contract.

First:   *Last:
*Title:
*County:
Address:
City:   *State:   Zip:
Phone:     Fax:
*e-mail:
* Required

For questions or to enroll in the program, please contact Andrew Goldschmidt, Director, Membership/Marketing at (202) 942-4221 or agoldschmidt@naco.org.

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