Med Bag Order Form

January 8, 2024
for Medicare Beneficiaries or Caregivers
for Dialysis Facilities
for Behavioral Healthcare Professionals
for Long-Term-Care Facilities
for Hospital/Pharmacy/Home Health Staff
for Clinicians or Physicians

Click “handout” to place your order.

*As of January 5, 2024, med bags will ONLY be shipped to organizations within the QIN-QIO regions of Alabama, Florida, Georgia, Kentucky, Louisiana, North Carolina, and Tennessee.