oidc.covermymeds.com Open in urlscan Pro
66.97.160.55  Public Scan

Form analysis
1 forms found in the DOM

POST /login

<form id="login-form" class="login-form" action="/login" accept-charset="UTF-8" method="post"><input type="hidden" name="authenticity_token" value="V3JMY4Q073g6feZoyK6tvHbag7caviI1wikwii5mDcbsT_mo8-ekVUmUcO5MFJ7Frk7ig_x1rXe3PXyJKTEu9A"
    autocomplete="off">
  <div class="mdc-text-field mdc-text-field--filled mdc-text-field--full-width mdc-text-field--focused mdc-text-field--label-floating mdc-ripple-upgraded mdc-ripple-upgraded--background-focused" data-mdc-auto-init="MDCTextField"
    data-mdc-auto-init-state="initialized">
    <div class="mdc-line-ripple mdc-line-ripple--active"></div>
    <label class="mdc-floating-label mdc-floating-label--required mdc-floating-label--float-above" for="username">Username</label>
    <input type="text" class="mdc-text-field__input mdc-text-field--with-trailing-icon" required="required" aria-describedby="username-helper-text" name="username" id="username">
    <i class="material-icons mdc-text-field__icon mdc-text-field__icon--trailing style--red" aria-hidden="true">error</i>
  </div>
  <div class="mdc-text-field-helper-line">
    <div id="username-helper-text" class="mdc-text-field-helper-text mdc-text-field-helper-text--validation-msg" aria-hidden="true"> Username is required </div>
  </div>
  <div class="mdc-text-field mdc-text-field--filled mdc-text-field--full-width mdc-ripple-upgraded" data-mdc-auto-init="MDCTextField" data-mdc-auto-init-state="initialized">
    <div class="mdc-line-ripple"></div>
    <label class="mdc-floating-label mdc-floating-label--required" for="password">Password</label>
    <input type="password" class="mdc-text-field__input mdc-text-field--with-trailing-icon" required="required" aria-describedby="password-helper-text" name="password" id="password">
    <i class="material-icons mdc-text-field__icon mdc-text-field__icon--trailing style--red" aria-hidden="true">error</i>
  </div>
  <div class="mdc-text-field-helper-line">
    <div id="password-helper-text" class="mdc-text-field-helper-text mdc-text-field-helper-text--validation-msg" aria-hidden="true"> Password is required </div>
  </div>
  <div class="spacer__top--medium">
    <input type="submit" name="commit" value="Log in" id="login-button" class="mdc-button mdc-button--raised style--width-100 spacer__bottom--small" data-disable-with="Log in">
    <p class="style--center style--uppercase">
      <a class="style--magenta" href="https://account.covermymeds.com/forgot">Forgot your username or password?</a>
    </p>
  </div>
</form>

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