IncareRx Discount Card order form

IncareRx Discount Card order form

Interested in Becoming an Agent?
No Sign Up Fees! Great Rewards!

Earn extra income when cards you distribute are used to fill prescriptions at the major chains. You can ask friends and family to help you distribute cards and get paid for their efforts, while they earn extra income for themselves. We will help you throughout the process, weekly training calls you can participate in as well as one on one help from BTIops sales associates.

Select and Action

We can send via email to save on your devices to show the pharmacy (optional)

Become an Agent and earn passive income

Address
Address
data-reqmsg="This field cannot be blank." aria-required="true" data-invmsg="Address is invalid" class="form-control" aria-invalid="false" autocomplete="address-line1" />
data-reqmsg="This field cannot be blank." aria-required="true" data-invmsg="Address is invalid" class="form-control frm_optional" aria-invalid="false" autocomplete="address-line2" />
data-reqmsg="This field cannot be blank." aria-required="true" data-invmsg="Address is invalid" class="form-control" aria-invalid="false" autocomplete="address-level2" />
City
State/Province
data-reqmsg="This field cannot be blank." aria-required="true" data-invmsg="Address is invalid" class="form-control" aria-invalid="false" autocomplete="postal-code" />
Zip/Postal