National Healthcare Discount

National Healthcare Discount Program
See if you Qualify!

Join National Health Care Discount Program and start saving on your prescriptions right away! You will save 30% to 65% on your prescriptions in over 40,000 pharmacies nationwide including CVS, Walgreens, Wal-Mart, Rite Aid and others for only $8.00 a month, or have the prescriptions delivered right to your door! Fill out the below information to see if you qualify. You will be notified within 3 days with more information and a price quote!

Do you spend more than $30 a month on prescriptions?
Do you currently have no medication insurance or discount card, or ones that save you 15% or less?

If you answered "yes" to the above questions, then fill in your information below and you will be contacted with FREE price quotes.

You are under no obligation by filling in your information, you will only get a call back with price quotes and ways that can save you money on your prescriptions.

First Name:

Last Name:

Phone number (in form of: xxx-xxx-xxxx):

Time Zone:

Best Time to be called back with free price quote:

Do you have a checking account or credit card?:

Amount spent on prescriptions per month:

Do you have a discount card that saves you more than 15%?

Name of Discount card:

Name of Prescriptions or ailments:

Do you know anyone else who can benifit from this offer and might like a call back?

Name of reference, first and last name:

Phone number of reference:

nhcd@adelphia.net