Costco member prescription program 2026

1. Click ‘Get Form’ to open the Costco Member Prescription Program enrollment form in the editor.
2. Begin by entering your personal information. Fill in your name, Costco membership number, date of birth, and phone number in the designated fields.
3. Next, provide your address details including street address, city, state, and ZIP code. Ensure all information is accurate for seamless processing.
4. In the signature field, sign your name to acknowledge understanding of the program's terms. This confirms that you meet eligibility requirements.
5. Finally, place the pharmacy bar code in the specified area if applicable. Review all entries for accuracy before submission.

Start filling out your Costco Member Prescription Program form online for free today!