Step 1
 

WELCOME

Let's start by getting you access

Your unique code can be found on the promotion card given to you by your pharmacy.

*Unique Code is required

*State is required

 
Type the name of your pharmacy.

*Retailer location is required

*First Name is required

*Last Name is required

*Valid mobile number required (must begin with '04')

Note: Work email addresses may prevent you from receiving important news about your claim's progress

*Valid email is required

*Confirm your email address

 

*Selection is required

Please confirm you are not a robot

  • Please ensure a clear sharp image

  • Start with a receipt flat, without folds or wrinkles

  • If document, ensure it's flat, without folds or wrinkles.

  • Please keep your phone or camera flat and steady, to take a sharp and bright image.