MAIL ORDER PHARMACY - ORCHARD PHARMACEUTICAL

Mail Order Pharmacy - 90-Day Supply:

• Generic - $14
• Preferred Brand - $50
• Non-Preferred Brand - $90

When the retail cost of a Preferred or Non-Preferred Brand name drug is more than $67.00, you can save money using the mail order pharmacy.

• This program was designed for individuals using maintenance medications for long-term medical conditions.
• Have your doctor write your prescription for a 90-day supply with three refills, if appropriate.
• Complete the Order Form.
• Select method of payment, i.e., credit card or check.
• Online ordering is available. after your initial order.

Mail your completed order form with the original prescription to:

Orchard Pharmaceuticals
P. O. Box 3094
North Canton, OH 44720

Customer service representatives are available at (866) 909-5170, Monday through Friday, 8:00 a.m. - 8:00 p.m. EST. (866) 909-5169 TTY

For Refills:

• To order by phone, call (866) 909-5170
• To order online, visit at www.orchardrx.com.

Helpful hints to using the mail order pharmacy program:

• Always place your order at least 14 days before you will need your medication.
• Always ask you physician to write the prescription for a 90-day supply.
• Ask your physician al allow generic substitution.
• Always obtain a new written prescription when requested by Orchard Pharmaceutial.
• Always send your payment with your order.