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Please consider reaching out to us prior to canceling your membership, we would love to be of service and resolve any issues you may have.

Online Termination Form

(Individual Members Only)

If you wish to cancel, please complete the online termination form. Please consider leaving us feedback prior to cancellation.

JUMP TO ONLINE TERMINATION FORM

Provide Feedback

Please provide feedback! It helps us improve our customer service and products so that we can provide a better member experience.

PROVIDE FEEDBACK

PDF Download of Termination Form

(Individual Members Only)

This PDF form must be faxed to (714) 255-0977 or scanned and emailed to membersterm@pram.com

Download termination form pdf

Feedback

Before you go, we would love it if you could please provide us with any feedback you might have regarding your experience with our company and programs. This will help us understand what we are doing right and what we need to improve upon!

By clicking submit below, you understand and acknowledge that any feedback left by you may or may not be used for marketing purposes.

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Thank you for your response. ✨

Online Termination Request Form

We are very sorry to see you go! But we do understand that sometimes this just happens. We hope that your experience with us was a pleasant one. If you have not already done so, please provide feedback prior to leaving us.

Please complete and submit the below online form to request a program termination. Click HERE to view our refund policy.

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Thank you for your response. ✨

Name as it appears on your ID card

PRAM Member ID (as shown on ID card)

Requested Termination Date

Phone Number

Which Members do I Wish to Terminate ?

Best Method of Contact (if necessary)

Phone Number listed above Email listed above

Reason for Terminating Program Membership (choose all that apply)

I have another solution for my pharmacy benefits I am now eligible for Medicare I think the price is too high I am not using the program services enough

Other Details

I understand and acknowledge that by clicking submit on this form, I am authorizing PRAM, Inc. to terminate my program as requested herein. I also acknowledge that I will receive an email from PRAM confirming my cancellation request and that I may receive a follow up email regarding my experience with my program membership.

I acknowledge that I have read, understand, and agree to the terms of the Refund Policy.