
Signing up for the program is easy — just click on one of the three "Start Here" boxes above.
You will be taken through a series of questions that, if you qualify, will result in an application that you can print, fill out, and send in to the pharmaceutical company for final approval. You may need to include copies of tax returns or other documents, so read the instructions carefully.
If you have any questions regarding the program, need assistance filling out forms, or need help with this Web site, please contact the ND Insurance Department at 1-888-575-6611.
Adam Hamm Insurance Commisioner |
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