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Request Info

To request more information about why RxBLUE PDP should be your choice for your Medicare Prescription Drug Plan, fill out the form below or call us now! Call 1-800-593-9735 from 8 a.m. to 8 p.m., seven days a week. TTY users may call 1-800-947-5277. You may be directed to a licensed insurance agent.

* indicates required field.
 
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Include apartment, suite number, OR PO Box, if applicable
 
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Phone Number
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Preferred Contact Time: *


 
I would like to receive e-mail from RxBLUE PDP.
 
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This is not an application for insurance

By submitting this form, you are giving your consent to have a Blue Cross and Blue Shield of Louisiana licensed and appointed agent contact you about RxBLUE PDP. Your name will NOT be added to a mailing list and there is NO obligation to buy.
 

Blue Cross and Blue Shield of Louisiana is incorporated as Louisiana Health Service & Indemnity Company, a Medicare-approved Part D sponsor

S5937_MKT113012
CMS Approved
Page Last Updated: 9:00 a.m. on 12.10.2012