Prescription Hope - Enrollment Create Account Registration

Get Started

You are a few steps away from saving money on your
medication. To begin your enrollment, let's start with
some contact information to create your account.

When the rep from Prescription Hope called to tell me I was qualified, I was speechless. They saved our home, they saved my health, they lifted that enormous financial burden at a time when we needed it most.
- Theresa from Oregon

Prescription Hope has allowed me and my family to do several other things because it has freed up funds from really expensive medication.
- Stephen from Iowa

They were the most kind helpful people I have ever spoken with. The experience has been life-changing.
- Mary From Indiana

We keep your information safe and protected. It is secured by 256-bit encryption, the same security banks use.

Gender *

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Is this application on behalf of a minor? *

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Would you like to receive text message updates?

By selecting this checkbox, you agree to receive important enrollment
information, updates, reminders, and promotional messages from Prescription
Hope directly to your phone. Message frequency varies. Text HELP to 964673 for
help, STOP to 964673 to stop, Message and Data Rates May Apply. By opting
in, you authorize Prescription Hope to deliver messages using an automatic
telephone dialing system, and you understand that you are not required to
opt-in as a condition of purchasing any property, goods, or services. By leaving
this checkbox unchecked, you will not opt-in for SMS messages at this time.

By selecting this checkbox, you understand and agree to Prescription Hope's privacy policy and terms of service Prescription Hope will send you emails with important enrollment information, updates, and reminders. You can unsubscribe at any time by clicking the link at the bottom of any Prescription Hope email.*

When the rep from Prescription Hope called to tell me I was qualified, I was speechless. They saved our home, they saved my health, they lifted that enormous financial burden at a time when we needed it most.
- Theresa from Oregon

Prescription Hope has allowed me and my family to do several other things because it has freed up funds from really expensive medication.
- Stephen from Iowa

They were the most kind helpful people I have ever spoken with. The experience has been life-changing.
- Mary From Indiana

The email address entered does not match what we have on file for your account. In order to keep your information as safe as possible, please contact a patient advocate at 1-877-296-4673 between 8:00am and 4:00pm Eastern Time.

Get Started

When the rep from Prescription Hope called to tell me I was qualified, I was speechless. They saved our home, they saved my health, they lifted that enormous financial burden at a time when we needed it most. - Theresa from Oregon

Prescription Hope has allowed me and my family to do several other things because it has freed up funds from really expensive medication. - Stephen from Iowa

They were the most kind helpful people I have ever spoken with. The experience has been life-changing. - Mary From Indiana

When the rep from Prescription Hope called to tell me I was qualified, I was speechless. They saved our home, they saved my health, they lifted that enormous financial burden at a time when we needed it most. - Theresa from Oregon

Prescription Hope has allowed me and my family to do several other things because it has freed up funds from really expensive medication. - Stephen from Iowa

They were the most kind helpful people I have ever spoken with. The experience has been life-changing. - Mary From Indiana

When the rep from Prescription Hope called to tell me I was qualified, I was speechless. They saved our home, they saved my health, they lifted that enormous financial burden at a time when we needed it most.
- Theresa from Oregon

Prescription Hope has allowed me and my family to do several other things because it has freed up funds from really expensive medication.
- Stephen from Iowa

They were the most kind helpful people I have ever spoken with. The experience has been life-changing.
- Mary From Indiana

When the rep from Prescription Hope called to tell me I was qualified, I was speechless. They saved our home, they saved my health, they lifted that enormous financial burden at a time when we needed it most.
- Theresa from Oregon

Prescription Hope has allowed me and my family to do several other things because it has freed up funds from really expensive medication.
- Stephen from Iowa

They were the most kind helpful people I have ever spoken with. The experience has been life-changing.
- Mary From Indiana