Create an Account

Registration

1. Register for a new account Online
   OR
   Continue to step 2
   
   
2. Print and sign the completed
   
   
   • Patient Registration Form
   • Customs Declaration *
   • Patient Disclaimer *
     
     *These Forms Are Not Required For Shippment To Canadian Addresses
     
     
3. Send the completed and signed forms to ibenefitRx
   
   
   • By Mail
     
     ibenefitRx
     P.O. Box 3017, MIP Post office
     Markham, ON L3R 6G4
     Canada
     
     
   • By Toll Free Fax
     
     1-877-948-0464