enrollment

Thank you for choosing our revolutionary NuWay healthcare program.
Please fill out the form below and checkout through our secure payment gateway to receive same-day access.

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NUWAY RX MEMBERSHIP

Product Name(Required)

PROGRAM DETAIL

Our NuWayRX Membership Plan offers your entire household has access to over 800 prescription medications at no charge including delivery. With NuWayRX, you must use your own doctors and transfer the prescription.

$49 /month

Due Today:

$49

Our Individual Membership Plan offers unlimited virtual urgent and primary care, access to wellness, mental health, men’s and women’s health, counseling and more, plus includes no cost access to our NuWayRX plan offering 815 no cost generic medications covering a single member household.

$99 /month

Due Today:

$99

Our Family Membership Plan offers unlimited virtual urgent and primary care, access to wellness, mental health, men’s and women’s health, counseling and more, plus our 815 no cost generic medication program covering up to 5 dependents. This plan includes adding each parent for an additional $25 per month per person.

$159 /month

Due Today:

$159

PRIMARY MEMBER

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PRIMARY MEMBER DETAILS

PRIMARY MEMBER NAME(Required)

PRIMARY_EMAIL(Required)

MOBILE PHONE(Required)

HOME PHONE

YOUR MAILING ADDRESS

MAILING ADDRESS(Required)

PERSONAL DETAIL

GENDER(Required)

BIRTHDATE(Required)

Primary Member Weight(Required)

Primary Member Height Feet(Required)

Primary Member Height Inches

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ADD FAMILY MEMBERS

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Has Spouse(Required)

Do you have a spouse?

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HAS DEPENDENTS(Required)

Add Your Dependents

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Dependent Count

SPOUSE DETAILS

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SPOUSE DETAILS

SPOUSE NAME

SPOUSE GENDER(Required)

SPOUSE BIRTHDATE(Required)

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FIRST DEPENDENT

FIRST DEPENDENTS DETAILS

DEPENDENT 1 NAME

Dependent 1 Gender

Dependent 1 dob

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SECOND DEPENDENT

SECOND DEPENDENTS DETAILS

Dependent 2 Name

Dependent 2 Gender

Dependent 2 Dob

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THIRD DEPENDENT

THIRD DEPENDENTS DETAILS

Dependent 3 Name

Dependent 3 Gender

Dependent 3 dob

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FOURTH DEPENDENT

FOURTH DEPENDENTS DETAILS

Dependent 4 Name

Dependent 4 Dob

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FIFTH DEPENDENT

FIFTH DEPENDENTS DETAILS

Dependent 5 Name

Dependent 5 Gender

Dependent 5 Dob

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SIXTH DEPENDENT

SIXTH DEPENDENTS DETAILS

Dependent 6 Name

Dependent 6 Gender

Dependent 6 Dob

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PAYMENT DETAILS

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COUPON CODE

INVALID COUPON CODE. PLEASE ENTER A VALID CODE.

COUPON CODE ACCEPTED. THE TOTAL MONTHLY CHARGE WILL BE REDUCED BY 20%

HOW WOULD YOU LIKE TO PAY FOR YOUR MEMBERSHIP?

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PREFERRED PAYMENT METHOD(Required)

YOUR CARD NUMBER

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CARD NUMBER(Required)

EXP. MONTH

EXP. YEAR

SECURITY CODE

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EXP. MONTH(Required)

This field is hidden when viewing the form

EXP. YEAR(Required)

This field is hidden when viewing the form

CVV CODE(Required)

WHAT IS YOUR PAYPAL ID?

PAYPAL ID(Required)

We will send a payment request to your PAYPAL ID shortly. Please complete the payment request once you received it.

We will send you a link to your email address with a link where you can complete the authorization of your membership fees.

Within 24 - 48 hours, of payment verification, you will receive an email and a text message with activation and usage instructions.

By clicking “COMPLETE YOUR ENROLLMENT” you acknowledge NuWay Health Memberships are billed monthly and are not prorated to the date of signup. The cost remains the same whether your coverage is active for one day or 30 days. All future recurring monthly auto bill charges will be charged on the monthly anniversary date of your sign-up. By clicking “COMPLETE YOUR ENROLLMENT” you authorize NuWay Health, Inc. to auto bill your payment method.

You hereby agree to the Terms & Conditions, Cancellation Policy, and Privacy Policy.

Thank you for choosing our revolutionary NuWay healthcare program.
Please fill out the form below and checkout through our secure payment gateway to receive same-day access.

Already a Member?
Sign in to your account

Product Name(Required)

PROGRAM DETAIL

Our NuWayRX Membership Plan offers your entire household has access to over 800 prescription medications at no charge including no cost delivery. With NuWayRX, you must use your own doctors and transfer the prescription.

$49 /month

Due Today: $49.00

Our Individual Membership Plan offers unlimited virtual urgent and primary care, access to wellness, mental health, men’s and women’s health, counseling and more, plus includes no cost access to our NuWayRX plan offering 816 no cost generic medications covering a single member household.

$99 /month

Due Today: $99.00

Our Family Membership Plan offers unlimited virtual urgent and primary care, access to wellness, mental health, men’s and women’s health, counseling and more, plus our 816 no cost generic medication program covering up to 5 dependents. This plan includes adding each parent for an additional $25 per month per person.

$159 /month

Due Today: $159.00

PRIMARY MEMBER

This field is hidden when viewing the form

PRIMARY MEMBER DETAILS

PRIMARY MEMBER NAME(Required)

PRIMARY_EMAIL(Required)

MOBILE PHONE(Required)

HOME PHONE

YOUR MAILING ADDRESS

MAILING ADDRESS(Required)

PERSONAL DETAIL

GENDER(Required)

BIRTHDATE(Required)

Primary Member Weight(Required)

Primary Member Height Feet(Required)

Primary Member Height Inches

This field is hidden when viewing the form

ADD FAMILY MEMBERS

This field is hidden when viewing the form

Has Spouse(Required)

Do you have a spouse?

This field is hidden when viewing the form

HAS DEPENDENTS(Required)

Add Your Dependents

This field is hidden when viewing the form

Dependent Count

SPOUSE DETAILS

This field is hidden when viewing the form

SPOUSE DETAILS

SPOUSE NAME

SPOUSE GENDER(Required)

SPOUSE BIRTHDATE(Required)

This field is hidden when viewing the form

FIRST DEPENDENT

FIRST DEPENDENTS DETAILS

DEPENDENT 1 NAME

Dependent 1 Gender

Dependent 1 dob

This field is hidden when viewing the form

SECOND DEPENDENT

SECOND DEPENDENTS DETAILS

Dependent 2 Name

Dependent 2 Gender

Dependent 2 Dob

This field is hidden when viewing the form

THIRD DEPENDENT

THIRD DEPENDENTS DETAILS

Dependent 3 Name

Dependent 3 Gender

Dependent 3 dob

This field is hidden when viewing the form

FOURTH DEPENDENT

FOURTH DEPENDENTS DETAILS

Dependent 4 Name

Dependent 4 Dob

This field is hidden when viewing the form

FIFTH DEPENDENT

FIFTH DEPENDENTS DETAILS

Dependent 5 Name

Dependent 5 Gender

Dependent 5 Dob

This field is hidden when viewing the form

SIXTH DEPENDENT

SIXTH DEPENDENTS DETAILS

Dependent 6 Name

Dependent 6 Gender

Dependent 6 Dob

This field is hidden when viewing the form

PAYMENT DETAILS

This field is hidden when viewing the form

COUPON CODE

INVALID COUPON CODE. PLEASE ENTER A VALID CODE.

COUPON CODE ACCEPTED. THE TOTAL MONTHLY CHARGE WILL BE REDUCED BY 20%

HOW WOULD YOU LIKE TO PAY FOR YOUR MEMBERSHIP?

This field is hidden when viewing the form

PREFERRED PAYMENT METHOD(Required)

YOUR CARD NUMBER

This field is hidden when viewing the form

CARD NUMBER(Required)

EXP. MONTH

This field is hidden when viewing the form

EXP. MONTH(Required)

EXP. YEAR

This field is hidden when viewing the form

EXP. YEAR(Required)

SECURITY CODE

This field is hidden when viewing the form

CVV CODE(Required)

WHAT IS YOUR PAYPAL ID?

PAYPAL ID(Required)

We will send a payment request to your PAYPAL ID shortly. Please complete the payment request once you received it.

We will send you a link to your email address with a link where you can complete the authorization of your membership fees.

Within 24 - 48 hours, of payment verification, you will receive an email and a text message with activation and usage instructions.

You hereby agree to the Terms & Conditions, Cancellation Policy, and Privacy Policy.

Thank you for choosing our revolutionary NuWay healthcare program.
Please fill out the form below and checkout through our secure payment gateway to receive same-day access.

Already a Member?
Sign in to your account

Product Name(Required)

PROGRAM DETAIL

$49 /month

Due Today: $49.00

Our Individual Membership Plan offers unlimited virtual urgent and primary care, access to wellness, mental health, men’s and women’s health, counseling and more, plus includes no cost access to our NuWayRX plan offering 816 no cost generic medications covering a single member household.

$99 /month

Due Today: $99.00

$159 /month

Due Today: $159.00

PRIMARY MEMBER

This field is hidden when viewing the form

PRIMARY MEMBER DETAILS

PRIMARY MEMBER NAME(Required)

PRIMARY_EMAIL(Required)

MOBILE PHONE(Required)

HOME PHONE

YOUR MAILING ADDRESS

MAILING ADDRESS(Required)

PERSONAL DETAIL

GENDER(Required)

BIRTHDATE(Required)

Primary Member Weight(Required)

Primary Member Height Feet(Required)

Primary Member Height Inches

This field is hidden when viewing the form

ADD FAMILY MEMBERS

This field is hidden when viewing the form

Has Spouse(Required)

Do you have a spouse?

This field is hidden when viewing the form

HAS DEPENDENTS(Required)

Add Your Dependents

This field is hidden when viewing the form

Dependent Count

SPOUSE DETAILS

This field is hidden when viewing the form

SPOUSE DETAILS

SPOUSE NAME

SPOUSE GENDER(Required)

SPOUSE BIRTHDATE(Required)

This field is hidden when viewing the form

FIRST DEPENDENT

FIRST DEPENDENTS DETAILS

DEPENDENT 1 NAME

Dependent 1 Gender

Dependent 1 dob

This field is hidden when viewing the form

SECOND DEPENDENT

SECOND DEPENDENTS DETAILS

Dependent 2 Name

Dependent 2 Gender

Dependent 2 Dob

This field is hidden when viewing the form

THIRD DEPENDENT

THIRD DEPENDENTS DETAILS

Dependent 3 Name

Dependent 3 Gender

Dependent 3 dob

This field is hidden when viewing the form

FOURTH DEPENDENT

FOURTH DEPENDENTS DETAILS

Dependent 4 Name

Dependent 4 Dob

This field is hidden when viewing the form

FIFTH DEPENDENT

FIFTH DEPENDENTS DETAILS

Dependent 5 Name

Dependent 5 Gender

Dependent 5 Dob

This field is hidden when viewing the form

SIXTH DEPENDENT

SIXTH DEPENDENTS DETAILS

Dependent 6 Name

Dependent 6 Gender

Dependent 6 Dob

This field is hidden when viewing the form

PAYMENT DETAILS

This field is hidden when viewing the form

COUPON CODE

INVALID COUPON CODE. PLEASE ENTER A VALID CODE.

COUPON CODE ACCEPTED. THE TOTAL MONTHLY CHARGE WILL BE REDUCED BY 20%

HOW WOULD YOU LIKE TO PAY FOR YOUR MEMBERSHIP?

This field is hidden when viewing the form

PREFERRED PAYMENT METHOD(Required)

YOUR CARD NUMBER

This field is hidden when viewing the form

CARD NUMBER(Required)

EXP. MONTH

This field is hidden when viewing the form

EXP. MONTH(Required)

EXP. YEAR

This field is hidden when viewing the form

EXP. YEAR(Required)

SECURITY CODE

This field is hidden when viewing the form

CVV CODE(Required)

WHAT IS YOUR PAYPAL ID?

PAYPAL ID(Required)

We will send a payment request to your PAYPAL ID shortly. Please complete the payment request once you received it.

We will send you a link to your email address with a link where you can complete the authorization of your membership fees.

Within 24 - 48 hours, of payment verification, you will receive an email and a text message with activation and usage instructions.

You hereby agree to the Terms & Conditions, Cancellation Policy, and Privacy Policy.