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Free price check. No insurance. No pressure.

Built for Arizona patients. Share a few details and our pharmacy team will follow up about eligibility, supply length, and next steps — usually within one business day.

This is a cash program only, not insurance. Program prices are not billed to and cannot be combined with Medicare, Medicare Part D, Medicaid/AHCCCS, TRICARE, VA, or any other government healthcare program, and payments do not count toward a Part D deductible or true out-of-pocket (TrOOP) costs.

First name *Last name *

Phone number *Email *

Arizona ZIP code *Preferred contact

Medication name *Strength

Quantity / supplyPrescriber name (optional)

Preferred fulfillmentWhat can we help with?Anything else we should know? (optional)

Privacy notice

Rightway Pharmacy is a HIPAA-covered pharmacy and protects your health information. Please share only the details above — do not send diagnoses, Social Security numbers, insurance ID numbers, or payment card numbers through this form. An internet form is not a fully secure channel; if you prefer, call us at (623) 266-0021 instead. We use what you submit only to respond to your request and, if you ask, to transfer your prescription. We never sell your information. See our Privacy Policy & HIPAA Notice.

I agree to be contacted by Rightway Pharmacy about my inquiry by phone, text, or email (message and data rates may apply; reply STOP to opt out of texts). I authorize Rightway Pharmacy to contact my prescriber or current pharmacy if needed to process my request. I understand a valid prescription is required, that this is a cash program and not insurance, and that eligibility, pricing, and supply quantities depend on my prescription details and pharmacy law. I have read the Privacy Policy & HIPAA Notice and Terms of Use.