Please fill out completely and select your preferences to Opt-In or Opt-Out of reminders and confirmations. By selecting ‘yes’, you are agreeing to receive texts to the phone number you’ve provided for one or more of the following; refill reminders, delivery confirmations, copay reminders. By selecting ‘no’, you are choosing to be contacted verbally by phone, and opting out of receiving notifications by text message. Please note that if opting in (yes), you can opt-out at any time by revisiting this page on our website, by calling us at (866) 279-0497, or by texting “OPTOUT” or “STOP” when receiving a text from us.
