Laserfiche WebLink
NACo Prescription Discount Card Program Checklist <br />County Name /State: Date contract returned to NACo: <br />1. Who is the ONE contact person in the county with whom we may communicate about this program? <br />Name and title <br />Address (w/ City, State, Zip) <br />Phone Fax <br />E -mail (We must have your email address!) <br />2. What is your county's anticipated start-up date for the program? CURRENT START UP TIME IS <br />10 WEEKS FROM THE TIME THE CONTRACT IS RETURNED TO NACo. Please plan your county's <br />roll out of the program accordingly. <br />3. Please choose a design for the discount cards: (YOU MUST CIRCLE ONE) <br />a. "County Name" or "County NameRx" <br />b. Logo /seal on cards <br />a. Be sure to e-mail a black and white logo /seal to Ralph.frissore@caremark.com in a .jpg <br />or .tifformat <br />b. Put "(COUNTY NAME) LOGO" in the subject line of your e-mail <br />c. Other. You must contact NACo if you do not choose either a or b. <br />4. What is your county's population? <br />Do you need cards /posters in Spanish? <br />5. Please provide a street address for delivery of cards. Cards will be sent via UPS Ground. <br />NO P.O. BOXES! <br />6. What is your county's web address (if available)? <br />Will this program have its own page? (Please provide) <br />What number would county residents call to pick up a card? <br />*************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** <br />IN_0 National Association of Counties <br />