Welcome to the United Teacher Associates Insurance Company Prescription Savings Program!

Start Saving Today!We have arranged for all of our customers to receive a

Prescription Savings Card to enjoy savings at a choice of

participating pharmacies. Save at more than 58,000 retail

pharmacies nationwide, including Walmart, Target and

Walgreens. We’re offering this to you free of charge.

Save on average 15-25% on all brand-name prescriptions

and 15-60% on generics not included by insurance.

Save at the register. No waiting

for reimbursements.

Lowest Price Promise: With this

card on file at the pharmacy, you

will always pay some of the lowest

prices for medications.

Save on prescriptions at OVER 58,000 PARTICIPATING PHARMACIES nationwide.

AlbertsonsBI-LO PharmacyBrookshire’sFood & PharmacyCostco PharmacyCVS PharmacyDillons PharmacyFred Meyer Pharmacy

Giant Eagle PharmacyGiant FoodH.E.B. PharmacyHy-vee PharmacyKerr DrugKroger PharmacyLong’s Drug StoreMarc’s Pharmacy

Medicine ShoppeMeijer PharmacyPublix PharmacyRite Aid PharmacySafewaySam’s Club PharmacySav-Mor PharmacySchnucks Pharmacy

ShopkoSmith’s Food & DrugStop & Shop PharmacyTarget PharmacyWalgreensWalmartWegmans PharmacyWinn-Dixie

Your prescription savings card is honored at...

...and thousands more!

Take this card to the pharmacy today!

NO PAPER WORK.NO WAITING!INSTANT SAVINGS.

Area reserved for card placement. No printing.

space for address label

THIS IS NOT INSURANCERXBIN: Variable Data

RXPCN: Variable Data

RXGRP: Variable Data

ISSUER: Variable Data

ID: Variable Data

Free Discount Drug Card! Active and Ready to Use!

SAVE ON PRESCRIPTIONS

IT’S FREE. There are no fees or charges.

BIG DISCOUNTS. Save an average of 15% to 60% off generic drugs and 15% to 25% off brand-name prescriptions.

INSTANT SAVINGS. Save at the register. There are no forms to fill out or waiting for reimbursements.

EASY TO JOIN. There are no medical exams or waiting.

CONVENIENT. Your card will be accepted at more than 58,000 pharmacies nationwide, including Walmart, Target and Walgreens.

SAVINGS WITHOUT LIMITS. The card never expires and there are no limits on how many times you can use it.

SOME OF THE LOWEST PRICES… EVERY TIME. Ask your pharmacist to keep this card on file, and you will always pay some of the lowest available prices for medications.

Take this card and your prescription to the pharmacy and begin saving today!

THIS PRESCRIPTION SAVINGS PROGRAM IS ADMINISTERED BY APEX AFFINITY.THIS PLAN IS NOT INSURANCE. THIS IS NOT A MEDICARE PRESCRIPTION DRUG PLAN. This plan does not meet the minimum creditable coverage requirements under M.G.L. c. 111M and 956 CMR 5.00. The plan provides discounts at certain health care providers for medical services. The range of discounts will vary depending on the type of provider and service. The plan does not make payments directly to the providers of medical services. Plan members are obligated to pay for all health care services but will receive a discount from those health care providers who have contracted with the discount medical plan organization. You may access a list of participating health care providers at myfreerxcard.com/UTA. Upon request the plan will make available a written list of participating health care providers. Discount Medical Plan Organization and administrator: Careington International Corporation, 7400 Gaylord Parkway, Frisco, TX 75034; phone 800-441-0380.

SAVE MONEY. FEEL GREAT.

Dial (866) 927-2859 or visit myfreerxcard.com/UTA to learn more about your savings card.

&

Start SavingTODAY!

Area reserved for card placement. No printing.

For questions regarding your plan or to locate a provider call toll-free

1-866-927-2859 Payment must be made at the time of service.

Attention Pharmacist: The RxBIN, RxPCN, RxGRP and full Member ID must be submitted online to MedImpact to process claims

for this program. For information call toll-free 1-800-788-2949.

myfreerxcard.com/UTA