A confirmation email will be sent to the email address provided on the form. 

Note: You will need to complete a separate Prescription Transfer form for you and/or each of your family members with a specialty drug prescription(s). 

Submit another form

Step Two 

To complete the transfer process, you need to speak with a member of the MemberRx pharmacy team. It is important that you speak with MemberRx as soon as possible to avoid any disruption in your specialty drug coverage.  

Book your phone appointment with MemberRx

To learn more about MemberRx, visit memberrx.ca.