347 N. Pottstown Pike, Suite 200 | Exton, PA 19341

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PDP Shopping Questionnaire
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Finding the most appropriate Prescription Drug Plan requires us to have a list of your current medications. Please provide a list of your current medications, including any "as needed" medications that you expect to fill in 2022. *Please exclude any OTC meds or vitamins you may take.

Please indicate if there are any other products you would like to discuss (in addition to Prescription)