Fill Out The Form
Complete the form below
Print The Card
It's activated instantly
Bring To Pharmacy
Now save up to 75%!
Full Name
Email Address
* We do not require fields to be complete to get a card.

Affiliate Registration

Join our free discount card affiliate program. There is no sale involved. You are simply giving these cards to people without insurance for help with their medication pricing. We have negotiated contracts with over 56,000 pharmacies nationwide that honor our discount cards. Last month alone we saved our members almost $4 Million dollars. Join our team and start making money now!

We're pleased to announce our new Affiliate Program. Join the YourRxCard Affiliate Program and partner with the leader discount prescription drug cards. please fill out the form below to get started!

Commisions & Fees

Tier 1: 1-2500 claims per month: .25/per claim
Tier 2: 2500+ claims per month: .50/per claim
Membership Fees: $2,000 per affiliate and $39.95 per month


Big Business

We can provide private label and broker programs for large public/private companies. Let your customers know you're looking out for them. Feel free to link to our site or contact us today for a private label program.

Associations and Charity Organizations

We would be honored to have any Associations or Charity Organizations provide their members with free access to our discount prescription drug card. Feel free to link to our site or contact us today for a private label program.

Insurance Brokers and Agents

Would you like to provide your clients with an added value benefit at no additional cost? Please consider offering free access to our discount prescription drug card at any time. This is a great program to set you ahead of the pack. Feel free to link to our site or contact us for a private label program.

State, City, County, Parish or Municipality

We can provide access to this free drug card for your population area. We can also provide marketing materials and hard cards for you to distribute at all public establishments. This is yet another great program to offer your state/city/county/parish/municipality. Please contact us today.

Website Owners

Do you own a website for low income, senior citizen, pharmacy, or health related audiences. Feel free to add our link to your site at anytime. Please contact us today for other ideas.

Business Name:
Business Address:
I've read and understood the Terms and Policies associated in signing up.