Rx Contact Form

This will route your questions or comments to the Attorney General's Office. Please fill out the form below and click on the "Submit" button. You will receive an electronic confirmation that your comment or question has been received by this office.

Section 1 - Please provide us with information about your experience on MyFloridaRx.com 1. Are the majority of your prescriptions covered by Medicaid? Yes No 2. If you answered "No" above, please indicate which benefits program covers the majority of your prescriptions such as Medicare Part D, private insurance, retiree benefits, etc 3. Were you able to locate the majority of your prescriptions on the list provided by MyFloridaRx.com? Yes No 4. Was MyFloridaRx.com helpful in determining where to purchase the lowest-priced prescriptions? Yes No 5. Please provide any additional feedback, including suggestions to improve the services provided by MyFloridaRx.com Section 2 - General Information Questions/Comments Please indicate whether or not your information requires a response from the Attorney General's Office. Yes No Can we send your questions/comments to the referenced party? Yes No Are you 60 or older? Yes No Section 3 - Your Contact Information First Name* Last Name* Street Address* City* State Zip ---- AK AL AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY County* Florida Residents Phone Alachua Baker Bay Bradford Brevard Broward Calhoun Charlotte Citrus Clay Collier Columbia Dade DeSoto Dixie Duval Escambia Flagler Franklin Gadsden Gilchrist Glades Gulf Hamilton Hardee Hendry Hernando Highlands Hillsborough Holmes Indian River Jackson Jefferson Lafayette Lake Lee Leon Levy Liberty Madison Manatee Marion Martin Monroe Nassau Okaloosa Okeechobee Orange Osceola Palm Beach Pasco Pinellas Polk Putnam Saint Johns Saint Lucie Santa Rosa Sarasota Seminole Sumter Suwannee Taylor Union Volusia Wakulla Walton Washington E-mail Address* I understand that your office does not give legal advice. I also understand that your office cannot take legal action for me individually, and that this document may become a public record. Prescription Drug Price Finder