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If you forgot your Member Number, please call your Midwest Family Health pharmacy.
Create Username & Password
Member Number:
*
You must enter a member number
Last Name
*
You must enter your last name
Username
*
Username must be between 5 and 50 characters.
You must create a Username.
Verify Username
*
You must verify your username.
Your usernames do not match.
Password
*
Password must be at least 8 characters long, including 1 letter, 1 number, and 1 special character.
You must create a password.
Verify New Password
*
Your passwords do not match up
You must enter your password
* Indicates Required Information.
Password must be between 5 and 14 characters.