Enrollment is Easy

Just fill out the form below to get started. When you are done, be sure to click the Submit button at the end of the form.

Upon enrollment a Customer Service Representative will contact you to complete the enrollment process. Upon shipment of your first medication order, IWP will include a completed application form for your final review along with assignment of benefits information.

If you have questions or need help with enrollment, call us toll-free at 1-888-321-7945 or contact us.