Request an agent

To request an agent for your pharmacy, enter your NCPDP number. We will assign an agent to meet with you to discuss being in your store during the Medicare enrollment period.

NCPDP #
Person agent should speak with
Pharmacy telephone

If you have an agent you have worked with in the past, you may request that agent below. As long as the agent is contracted and certified to represent Todays Options and Community CCRx from Universal American, we will attempt to reserve that agent for your store.

Agent name
Agent telephone