Patriot Health Prescription Drug Plan

Online Enrollment:

• Please click on the below link
• Once you are on the Patriot RX website, please click on Order Program and follow the instructions.
  
  http://www.mymemberinfo.com/Filco/

or, Download Enrollment Forms:

• 2 Tier Rate Enrollment Form
• 3 Tier Rate Enrollment Form

Please fax or mail the enrollment information, including payment to
Fiduciary Intermediary Ltd,
370 Lexington Ave
Suite 1601
New York, NY 10017
Phone: (212) 972-1970
Fax: (212) 972-1126

For additional information and questions, please email ykrauss@filco.net

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