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Create an account to view products and place orders online.

You must be enrolled in a qualifying Health Plan to use this website.

I forgot my Username

Please fill in the information fields below exactly how they appear on your Health Plan Member card. Your Username will be emailed to you shortly.

* Required Fields

First Name *

Last Name *

Member ID *
(Member ID field should only contain the numbers before the dash and no special characters (i.e ! #). If the member id contains leading zeros or letter(s) those should be entered in the member id field.)

State *

Date Of Birth *

Email Address *

If you still need assistance with your Username, please contact the FirstLine Benefits Customer Service toll-free at 1-844-564-2198, TTY 711, Monday-Friday from 7 a.m to 7 p.m. CT and Saturday, 7 a.m. to 4 p.m. CT.

I forgot my Password

Please complete the fields below and an email will be sent to the email address that was used to create the website account with.

When you receive this email, you will be asked to click a link within the email. you will then be immediately prompted to create a new password.

* Required Fields

Date Of Birth *

Last Name *

Security Question *

Security Question Answer *

If you still need assistance with your Password, please contact the FirstLine Benefits Customer Service toll-free at 1-844-564-2198, TTY 711, Monday-Friday from 7 a.m to 7 p.m. CT and Saturday from 7 a.m. to 4 p.m. CT.

Reset Password

Username *

New Password *

Must be 8-25 characters and must contain at least one number, one capital letter and one lower case letter. No special characters.

Confirm New Password *

* Required Fields

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