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Medicare Part D
Starting January 1, 2006, the new Medicare prescription drug coverage becomes available to everyone with Medicare Part A and/or Part B.

Enrollment period is November 15, 2005 till May 15, 2006. Beneficiaries that enroll in a Medicare prescription drug plan are responsible for paying the monthly premium.

Beneficiaries with limited income and resources, may qualify for extra help paying for the Medicare prescription drug premiums, deductible and cost shares. For more information on who can get extra help with prescription drug costs and how to apply, call the Social Security Administration at 1-800-772-1213, or visit www.socialsecurity.gov on the web. TTY users should call 1-800-325-0778.

For more information on Medicare Part D, visit http://www.medicare.gov/.
     
 


Transfer your existing prescription(s) to Livernois Family Pharmacy. Your prescription should have at least one refill left to be transferred to our pharmacy. According to Michigan State Law, a controlled substance prescription can be transferred only once.

Please provide transferring pharmacy name, phone number, your name (as it appears on the label), your phone number and prescription number(s). Incorrect information will delay transfer of prescription.

Once you submit your request using the online form below, you will receive an email confirmation that your prescription transfer request has been received. All request for prescription transfers received before 4:00 PM EST will be available for pick-up same day. Please allow 2 hours to process your order after it is submitted. We will notify you by phone if we cannot transfer your prescription or need more information.
 
Rx Transfer Form - All fields are required
Pharmacy Name:
Pharmacy Phone Number:
(xxx-xxx-xxxx)
Full Name:
(as it appears on the Rx label)
Your Phone Number:
(xxx-xxx-xxxx)
E-mail address:
(used to send confirmation email)
Prescription Number(s):
(enter at least one prescription)




  
 
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