Enrollment Instructions

Thank you for your interested in VNA Pharmacy powered by PharMerica. If you would like to enroll in the program, you can use our secure, HIPAA-compliant web form.

Please have the following information available:

• Last four digits of your Social Security Number
• Medication Insurance Plan (or Prescription Insurance Plan) Card
  • Member ID
  • Group Number
  • RxBIN and RxPCN

 

Enroll Now via Secure Form

(A new browser window will open to access our secure, HIPAA compliant JotForm.)

 

Questions? Contact us at (216) 393-0755.