www.singlecare.com Open in urlscan Pro
2600:9000:2182:c000:2:5066:e700:93a1  Public Scan

Form analysis
5 forms found in the DOM

<form autocomplete="on">
  <div class="sc-form-row sc-form-row--email"><label id="login-email" class="sc-form__label">Email</label><input class="themeFocus menuComponent sc-form__text sc-form__icon-text sc-form__icon--mail " data-validate="required,email" id="Email"
      name="Email" placeholder="example@domain.com" type="email" autocomplete="email" required="" tabindex="0" aria-labelledby="login-email" aria-required="true" aria-invalid="false" aria-describedby="emailPasswordError" value=""><span
      class="label-error"><span class="hiddenImg" style="display: inline-block;"></span></span></div>
  <div class="sc-form-row sc-form-row--password position-relative"><label id="login-password" class="sc-form__label ">Password</label><input class="themeFocus menuComponent sc-form__text sc-form__icon-text sc-form__icon--password"
      data-validate="required" type="password" id="Password" name="Password" placeholder="Password" autocomplete="current-password" required="" tabindex="0" aria-labelledby="login-password" aria-required="true" aria-invalid="false"
      aria-describedby="emailPasswordError" value="">
    <div tabindex="-1" class="eye-icon"><span class="" style="display: inline-block; width: 18px;"></span></div><span class="label-error"><span class="hiddenImg" style="display: inline-block;"></span></span>
  </div>
  <div class="sc-form-row sc-form-row--submit">
    <div><button data-testid="submit" class="menuComponent sc-btn-cyan themeFocus">Sign in</button><button class="menuComponent sc-text-btn--cyan login--link-center" type="button">Reset password?</button></div>
  </div>
</form>

---

<form autocomplete="on">
  <div class="form-control app-link-form">
    <div class="halfwidth"><input type="text" placeholder="(555) 555-5555" autocomplete="tel-national" aria-labelledby="mobile-download-linkmobileApps" aria-required="true" class="blueFocus dialogComponent" aria-invalid="false"
        aria-describedby="&quot;invalidInputErrormobileApps" inputmode="numeric" value=""><span id="&quot;invalidInputErrormobileApps" class="label-error visibilityHidden" role="alert"><img class="errorImg" src="/content/images/icons/error.svg"
          alt="">Enter 10 digits</span></div><button class="pink button submitAction blueFocus dialogComponent false"><span>Send</span></button>
  </div>
</form>

---

<form autocomplete="off" class="search-form-wd">
  <div class="site-search-form--query false "><img alt="" src="/content/images/icons/search.jpg" class="search-img" height="32" width="20">
    <div class="fullwidth position-relative"><input class="false sc-form__text site-search-form--term whiteFocus" id="searchbar" placeholder="Type your drug name" autocomplete="off" type="search" aria-required="true" aria-autocomplete="list"
        aria-controls="search-results site-search-results" aria-label="Type your drug name" value=""></div><button type="submit" value="Search" class="search-btn sc-outline-btn--cool-gray desktop-only whiteFocus" data-testid="submit"><span
        class="search-icon"><img src="/content/images/icons/search-icon.svg" alt=""></span><span>Search</span></button>
  </div>
</form>

---

<form autocomplete="on">
  <div class="form-control app-link-form">
    <div class="halfwidth"><input type="text" placeholder="(123) 456-7890" autocomplete="tel-national" aria-labelledby="mobile-download-link" aria-required="true" class="blueFocus dialogComponent" aria-invalid="false"
        aria-describedby="&quot;invalidInputError" inputmode="numeric" value=""><span id="&quot;invalidInputError" class="label-error visibilityHidden" role="alert">Please enter a valid phone number</span></div><button
      class="pink button submitAction blueFocus dialogComponent false">Text me the app</button>
  </div>
</form>

---

<form autocomplete="on">
  <div class="subscribeForm">
    <div class="inputText"><label id="subscribe-news-letter-email">Enter your email address:</label><input type="text" class="whiteFocus undefined" placeholder="Email" name="Email" autocomplete="email" required=""
        aria-labelledby="subscribe-news-letter-email" aria-required="true" aria-invalid="false" aria-describedby="invalidEmailError" value=""></div>
    <div class="inputButton"><button class="whiteFocus">Subscribe</button></div>
  </div><span id="invalidEmailError" class="label-error visibilityHidden" role="alert"></span>
</form>

---

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SINGLECARE

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SUPPORT

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© 2022 SingleCare Administrators. All Rights Reserved.

* Prescription savings vary by prescription and by pharmacy, and may reach up to
80% off cash price.

Pharmacy names, logos, brands, and other trademarks are the property of their
respective owners.


This is a prescription discount plan. This is NOT insurance nor a Medicare
prescription drug plan. The range of prescription discounts provided under this
discount plan will vary depending on the prescription and pharmacy where the
prescription is purchased and can be up to 80% off the cash price. You are fully
responsible for paying your prescriptions at the pharmacy at the time of
service, but you will be entitled to receive a discount from the pharmacy in
accordance with the specific pre-negotiated discounted rate schedule. Pharmacy
names, logos, brands, and other trademarks are the property of their respective
owners.Towers Administrators LLC (operating as 'SingleCare Administrators') is
the authorized prescription discount plan organization with its administrative
office located at 4510 Cox Road, Suite 111, Glen Allen, VA 23060. SingleCare
Services LLC ('SingleCare') is the vendor of the prescription discount plan,
including their website.website at www.singlecare.com. For additional
information, including an up-to-date list of pharmacies, or assistance with any
problems related to this prescription drug discount plan, please contact
customer service toll free at 844-234-3057, 24 hours a day, 7 days a week
(except major holidays). By using the SingleCare prescription discount card or
app, you agree to the SingleCare Terms and Conditions found
at https://www.singlecare.com/terms-and-conditions

© 2022 SingleCare Administrators. All Rights Reserved.