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Welcome to P4 Pharmacy

As a new member to the pharmacy, we would like to let you know that we strive to keep costs as affordable as we can! **Note if you have Medicare A/B this insurance only covers hospitals and doctor office visits. A Medicare Part D plan is required if you want to use insurance to help cover the costs of the medications. **If you have Utah State Medicaid, please note that not everything will be covered by Medicaid, such as over the counter medications and medications that do meet eligibility requirements. We will do the best we can to keep the over-the-counter medications (OTC) at an affordable price. Thank you for this opportunity! Please enter your information below.  Information is encrypted once you push "Submit"

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Responsible Party (Payee)

You may use our Payment Portal once you have received your first invoice in the mail!

We work hard to take care of your needs, even your financial needs. Please call ASAP if you need accommodations or special billing arrangements. Our billing department can be reached at 385-415-5863 Ext. 2. Invoices are mailed between the 2nd & 5th of each month.

If there are out of pocket expenses or copays, we require to know: Who the responsible party will be to pay the pharmacy invoice, and where the invoice should be mailed or emailed to.

Payment Agreement - please read and sign to show your agreement
Notice of Privacy - please read and acknowledge with your signature

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