www.riteaid.com
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72.246.29.60
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Submitted URL: https://bit.ly/3csmbuk
Effective URL: https://www.riteaid.com/pay-and-go/?guId=4abc8e17c0e049f1b9c7143483e3acbf&storeNumber=05712
Submission: On October 14 via api from LU — Scanned from DE
Effective URL: https://www.riteaid.com/pay-and-go/?guId=4abc8e17c0e049f1b9c7143483e3acbf&storeNumber=05712
Submission: On October 14 via api from LU — Scanned from DE
Form analysis
5 forms found in the DOM<form _ngcontent-wag-c81="" novalidate="" class="ng-untouched ng-pristine ng-valid">
<div _ngcontent-wag-c81="" class="parent ng-star-inserted" style=""><!----></div><!---->
</form>
<form _ngcontent-wag-c82="" novalidate="" class="ng-untouched ng-pristine ng-invalid">
<div _ngcontent-wag-c82="" class="parent">
<div _ngcontent-wag-c82="" class="ng-star-inserted"><!----><br _ngcontent-wag-c82="">
<section _ngcontent-wag-c82="">
<div _ngcontent-wag-c82="" id="signContainer">
<div _ngcontent-wag-c82="" id="icon">
<div _ngcontent-wag-c82="" id="innerIcon"><img _ngcontent-wag-c82="" alt="Info" src="content/dam/riteaid-web/pay-and-go/Warning-Icon.svg"></div>
</div>
<div _ngcontent-wag-c82="" id="description">
<div _ngcontent-wag-c82="" id="innerDescription"> If prescriptions you are expecting are not shown below, they are still being processed in our system. Please check back later. </div>
</div><br _ngcontent-wag-c82="" style="clear: both;">
</div><br _ngcontent-wag-c82="">
<div _ngcontent-wag-c82=""><mat-checkbox _ngcontent-wag-c82="" formcontrolname="selectAll" class="mat-checkbox mat-accent mat-checkbox-checked ng-untouched ng-pristine ng-valid ng-star-inserted" id="mat-checkbox-1"><label
class="mat-checkbox-layout" for="mat-checkbox-1-input"><span class="mat-checkbox-inner-container mat-checkbox-inner-container-no-side-margin"><input type="checkbox" class="mat-checkbox-input cdk-visually-hidden"
id="mat-checkbox-1-input" tabindex="0" aria-checked="true"><span matripple="" class="mat-ripple mat-checkbox-ripple mat-focus-indicator"><span class="mat-ripple-element mat-checkbox-persistent-ripple"></span></span><span
class="mat-checkbox-frame"></span><span class="mat-checkbox-background"><svg version="1.1" focusable="false" viewBox="0 0 24 24" xml:space="preserve" class="mat-checkbox-checkmark">
<path fill="none" stroke="white" d="M4.1,12.7 9,17.6 20.3,6.3" class="mat-checkbox-checkmark-path"></path>
</svg><span class="mat-checkbox-mixedmark"></span></span></span><span class="mat-checkbox-label"><span style="display: none;"> </span> </span></label></mat-checkbox><!----><br _ngcontent-wag-c82=""><br
_ngcontent-wag-c82=""><!----><!----><br _ngcontent-wag-c82=""><!----><!----><br _ngcontent-wag-c82=""><!----><!----></div>
</section>
<div _ngcontent-wag-c82=""><button _ngcontent-wag-c82="" mat-stroked-button="" class="mat-focus-indicator classLeft mat-stroked-button mat-button-base"><span class="mat-button-wrapper">Back</span><span matripple=""
class="mat-ripple mat-button-ripple"></span><span class="mat-button-focus-overlay"></span></button> <button _ngcontent-wag-c82="" mat-button=""
class="mat-focus-indicator classRight mat-button mat-button-base mat-button-disabled" disabled="true"><span class="mat-button-wrapper">Continue</span><span matripple="" class="mat-ripple mat-button-ripple"></span><span
class="mat-button-focus-overlay"></span></button>
<div _ngcontent-wag-c82="" class="clearBoth"></div>
</div>
</div><!----><!----><!----><!----><!----><!---->
</div>
</form>
<form _ngcontent-wag-c84="" novalidate="" class="ng-untouched ng-pristine ng-valid">
<div _ngcontent-wag-c84="" class="parent">
<div _ngcontent-wag-c84=""><mat-label _ngcontent-wag-c84="" class="headerLabel">Please sign for the prescription </mat-label></div>
<div _ngcontent-wag-c84="" class="pad"></div>
<div _ngcontent-wag-c84="" style="border: 1px solid;"><signature-pad _ngcontent-wag-c84="" id="signatureCanvas"><canvas height="800" width="1520" style="touch-action: none;"></canvas></signature-pad></div>
<div _ngcontent-wag-c84="">
<div _ngcontent-wag-c84="" class="pad"></div>
<div _ngcontent-wag-c84=""><mat-label _ngcontent-wag-c84="">Signature is required for prescription</mat-label><br _ngcontent-wag-c84=""><br _ngcontent-wag-c84=""><button _ngcontent-wag-c84="" mat-stroked-button=""
class="mat-focus-indicator classLeft mat-stroked-button mat-button-base"><span class="mat-button-wrapper">Clear</span><span matripple="" class="mat-ripple mat-button-ripple"></span><span
class="mat-button-focus-overlay"></span></button> <button _ngcontent-wag-c84="" mat-button="" class="mat-focus-indicator classRight mat-button mat-button-base mat-button-disabled" disabled="true"><span
class="mat-button-wrapper">Continue</span><span matripple="" class="mat-ripple mat-button-ripple"></span><span class="mat-button-focus-overlay"></span></button></div>
<div _ngcontent-wag-c84="" class="clearBoth"></div>
</div>
<div _ngcontent-wag-c84="" class="nextprev"><button _ngcontent-wag-c84="" mat-stroked-button="" matstepperprevious="" class="mat-focus-indicator mat-stepper-previous SignBackBttn mat-stroked-button mat-button-base" type="button"><span
class="mat-button-wrapper">Back</span><span matripple="" class="mat-ripple mat-button-ripple"></span><span class="mat-button-focus-overlay"></span></button></div><br _ngcontent-wag-c84=""><!----><br _ngcontent-wag-c84="">
<div _ngcontent-wag-c84=""></div>
</div>
</form>
<form _ngcontent-wag-c88="" novalidate="" class="ng-untouched ng-pristine ng-invalid">
<div _ngcontent-wag-c88="" class="parent ng-star-inserted"><!----><!----><!----><!----><!----><!----><br _ngcontent-wag-c88="">
<div _ngcontent-wag-c88=""><br _ngcontent-wag-c88=""><!----></div>
<div _ngcontent-wag-c88="" class="ng-star-inserted"><!----></div><!----><!----><!----><!----><!---->
</div><!---->
</form>
<form _ngcontent-wag-c89="" novalidate="" class="ng-untouched ng-pristine ng-valid">
<div _ngcontent-wag-c89="" class="parent">
<p _ngcontent-wag-c89="" class="thank-order">Thank you for your order!</p><br _ngcontent-wag-c89=""><mat-label _ngcontent-wag-c89="" class="headerLabel">Order Summary</mat-label><br _ngcontent-wag-c89=""><br _ngcontent-wag-c89=""><mat-label
_ngcontent-wag-c89="" class="prescription">Prescription Selections</mat-label><br _ngcontent-wag-c89=""><br _ngcontent-wag-c89=""><!----><!----><!----><!----><button _ngcontent-wag-c89="" mat-button=""
onclick="window.open('https://www.bartelldrugs.com/','_blank')" class="mat-focus-indicator mat-button mat-button-base ng-star-inserted"><span class="mat-button-wrapper">Browse Website</span><span matripple=""
class="mat-ripple mat-button-ripple"></span><span class="mat-button-focus-overlay"></span></button><!---->
</div>
</form>
Text Content
Pay 'N Go 1 2 3 4 5 Your session has expired. If you would like to start over simply use the original link you were provided. Thank you for using RiteAid for all your pharmacy needs. If prescriptions you are expecting are not shown below, they are still being processed in our system. Please check back later. Back Continue Please sign for the prescription Signature is required for prescription Clear Continue Back Thank you for your order! Order Summary Prescription Selections Browse Website