Enroll with 2SLGBTQIA+ Collaborative for HRT or PrEP

After you submit your form a TIN Rx representative will contact you by phone within 24 hours to go over the Pharmaffordable HRT and/or PrEP telehealth consultation process. Don’t worry if you miss the initial call, we’ll also send you emails outlining the TIN Rx PharmAffordable program and ways to keep in touch with us. TIN Rx is here to help. Welcome to stigma free pharmacy.

You’re almost done. Fill out the form below to start TIN Rx PharmAffordable.

Leave blank if you cannot answer.
Due to my income level and the lack of available assets, I and my family are in extreme financial need at the present time. In light of my other expenses for the necessities of life, I attest and confirm to TIN Rx under penalties of perjury that paying the cited price for my necessary medication would present a significant financial burden on me and my family. If this situation ever changes, I agree to inform TIN Rx promptly that I am no longer eligible for the PharmAffordable Program.