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A Medicare
Participating Pharmacy

Due to Medicare’s recent restriction, we are temporarily unable to provide your 8 free at
home COVID-19 tests kits each month.

Please call 855-627-9909 for more information.

Cancel Your 8 COVID-19 Test Kits

To cancel your monthly COVID-19 test kit allocation, provided by Medicare at no cost to you, please fill out the information below and we will stop sending your 8 free COVID-19 test kits each month, beginning next month if your request is received before 11:00 PM Eastern Standard Time on the last day of the month… otherwise the cancellation will take effect the following month.

Last Name(Required)
Date of Birth(Required)
Zip Code(Required)
By checking this box and submitting this request, you acknowledge that you no longer want to receive your 8 COVID-19 test kits provided by Medicare at no cost to you.

*Please note the Public Health Emergency has been extended, making these test kits available with the hopes of preventing the further spread of COVID-19. Canceling means no further test kits will be mailed to you.
This field is for validation purposes and should be left unchanged.