You can enroll in the LibertyCareRx program online, by fax or by mail.

Online – Access our online enrollment form.

Phone — 1-716-204-9059

Fax or Mail – Download a printable version of our enrollment form.

Completed applications may be faxed to 1-716-204-3394 or mailed to:

LibertyCareRx
6400 Sheridan Drive, Suite 206
Williamsville, NY 14221