► Enter your email address*

► Have you used your WiseRx^® Discount Card at a pharmacy?*

YesNo

► If yes, how was your experience? (Select one option)

Easy to use, and I saved on my prescriptions.I faced challenges using it.Other

► If no, what prevented you from using the card? (Select all that apply)

I haven’t needed to fill a prescription yet.I wasn’t sure how to use it.The pharmacy didn’t accept the card.Other

► Would you recommend the WiseRx^® Card to others?*

YesNo

► How would you rate the information we provided about using the card?* (Scale: 1 - Very Poor to 5 - Excellent)

1

► What improvements can we make to help you use the card more effectively?*

► Do you have any additional feedback or suggestions for us?