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    Heart Together Rx Enrollment

    Together Rx Enrollment
    Together Rx Web Enrollment Page

    CHECK YOUR ELIGIBILITY
    Please read the following list of eligibility requirements. If you meet all four requirements, check Yes below to continue.Questions? Call us at 1-800-444-4106.
    I have no prescription drug coverage of any kind.
    I am not eligible for Medicare.
    I am a legal resident of the US or Puerto Rico.
    I have household income equal to or less than:
    - $30,000 for a single person
    - $40,000 for a family of two
    - ,000 for a family of three

    - $60,000 for a family of four
    - $70,000 for a family of five

    Families of six or more and residents of Alaska and Hawaii should contact TogetherRx Access at
    1-800-444-4106 for household income information.

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