Convey Health Solutions :: CVS

Do you currently have Medicare Part B as your primary insurance? To enroll in the CVS Medicare program, call us toll free at 1-800-608-7619 or complete the form below.

There is no obligation and satisfaction is guaranteed. Once we
have received your information a Convey Health Solutions customer service representative will contact you by telephone to review your order.

You may print this screen and keep a copy of it for your records.

An asterisk (*) designates a required field.

First name *	Last name *
Email address	Phone number * ###-###-####

* I am interested in learning more about:

Please select at least 1 product.

Diabetes testing supplies

Respiratory medications and supplies

Immunosuppressive medications

Oral anti-cancer medications

Oral anti-nausea medications

Ostomy supplies

This field is required.

* Yes, you may contact me by phone

By entering and submitting this information electronically, I authorize USPG d/b/a Convey Health Solutions to contact me by telephone in regards to
my request for further information as I am interested in learning more about the CVS Pharmacy Medicare Part B program.

Fill out the online reorder form to request the refill
of your Medicare Part B-covered medications and medical supplies. Please fill out this form completely and include every Medicare Part B-covered prescription you would like to refill at this time.
This form may only be used to refill prescriptions previously filled by Convey Health Solutions and must be completed no more than two weeks prior to your
next refill date.