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208.91.230.210  Public Scan

Form analysis
2 forms found in the DOM

Name: search — GET /custom-search

<form action="/custom-search" method="get" id="views-exposed-form-custom-search-custom-search" accept-charset="UTF-8" class="search-form search-block-form" name="search">
  <!-- THEME DEBUG -->
  <!-- THEME HOOK: 'views_exposed_form' -->
  <!-- BEGIN OUTPUT from 'core/themes/stable/templates/views/views-exposed-form.html.twig' -->
  <!-- THEME DEBUG -->
  <!-- THEME HOOK: 'form_element' -->
  <!-- FILE NAME SUGGESTIONS:
   x form-element--custom-search-input.html.twig
   * form-element.html.twig
-->
  <!-- BEGIN OUTPUT from 'themes/custom/mi/templates/views/searchResult/searchFrom/form-element--custom-search-input.html.twig' -->
  <!-- THEME DEBUG -->
  <!-- THEME HOOK: 'input__textfield' -->
  <!-- FILE NAME SUGGESTIONS:
   * input--textfield.html.twig
   x input--search--edit-custom-search-input.html.twig
   * input.html.twig
-->
  <!-- BEGIN OUTPUT from 'themes/custom/mi/templates/views/searchResult/searchFrom/input--search--edit-custom-search-input.html.twig' -->
  <input data-drupal-selector="edit-custom-search-input" type="text" id="mi_search_txt" name="custom_search_input" value="Search text" size="30" maxlength="128" class="form-text txt">
  <input type="button" class="iconfont btn active" value="">
  <!-- END OUTPUT from 'themes/custom/mi/templates/views/searchResult/searchFrom/input--search--edit-custom-search-input.html.twig' -->
  <!-- END OUTPUT from 'themes/custom/mi/templates/views/searchResult/searchFrom/form-element--custom-search-input.html.twig' -->
  <!-- THEME DEBUG -->
  <!-- THEME HOOK: 'container' -->
  <!-- BEGIN OUTPUT from 'core/themes/stable/templates/form/container.html.twig' -->
  <div data-drupal-selector="edit-actions" class="form-actions js-form-wrapper form-wrapper" id="edit-actions">
    <!-- THEME DEBUG -->
    <!-- THEME HOOK: 'input__submit' -->
    <!-- FILE NAME SUGGESTIONS:
   * input--submit.html.twig
   x input--search--edit-submit-custom-search.html.twig
   * input.html.twig
-->
    <!-- BEGIN OUTPUT from 'themes/custom/mi/templates/views/searchResult/searchFrom/input--search--edit-submit-custom-search.html.twig' -->
    <!-- END OUTPUT from 'themes/custom/mi/templates/views/searchResult/searchFrom/input--search--edit-submit-custom-search.html.twig' -->
  </div>
  <!-- END OUTPUT from 'core/themes/stable/templates/form/container.html.twig' -->
  <!-- END OUTPUT from 'core/themes/stable/templates/views/views-exposed-form.html.twig' -->
  <input type="hidden" name="as_sfid" value="AAAAAAVcY94gMUNQONeoKEGaoy35XtBE3wJfVnA_noP8C0aSaggdd5nRQQ4Lp7G8che2nF768_8rObyPoMWGFzbsctaO-8XTAKdZDikYlE4u-ZTkVIaSzwmEO8f6n24VXHnU3R0="><input type="hidden" name="as_fid"
    value="222107d7d6c0d8d0c8064891da963eb99f1c38a7">
</form>

POST https://ci32.actonsoftware.com/acton/forms/userSubmit.jsp

<form id="form_0018" method="post" enctype="multipart/form-data" action="https://ci32.actonsoftware.com/acton/forms/userSubmit.jsp" accept-charset="UTF-8">
  <input type="hidden" name="ao_a" value="3999">
  <input type="hidden" name="ao_f" value="0018">
  <input type="hidden" name="ao_d" value="0018:d-0001">
  <input type="hidden" name="ao_p" id="ao_p" value="0">
  <input type="hidden" name="ao_jstzo" id="ao_jstzo" value="">
  <input type="hidden" name="ao_cuid" value="">
  <input type="hidden" name="ao_srcid" value="">
  <input type="hidden" name="ao_bot" id="ao_bot" value="">
  <input type="hidden" name="ao_camp" value="">
  <div id="ao_alignment_container">
    <input type="hidden" class="formFieldText formFieldLarge" id="form_0018_fld_0" name="Full Name" value="Guest">
    <input type="text" class="txt formFieldText formFieldLarge" id="form_0018_fld_1" name="Email" placeholder="YOUR EMAIL" value="">
    <div id="form_0018_ao_submit_button">
      <input id="form_0018_ao_submit_input" type="button" class="btn" name="Submit" value="SUBMIT">
    </div>
  </div>
</form>

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MEMBER RESOURCES
What is a pharmacy benefit manager?
We work with your health plan to make it easy for you to access your pharmacy
benefits, save money, and lead a healthier life. When it comes to your
healthcare, we’re on your side.
Member resources
Can’t remember if you took your medications? Now there’s an app for that.
We’re always looking for ways to make the lives of members easier when it comes
to their pharmacy benefits and medications. That's why we’re excited to announce
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For 30 years, MedImpact has been lowering cost, improving care, and delivering
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programs, technology, operations, and analytics.

 

We are excited about the future — that’s why we’re running toward it and
investing to invent it.

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FOR OUR MEMBERS
Member news.
Stay up to date and stay healthy.
Member resources Lisa Haw receives AMCP’s Residency Director/Preceptor Award The
Academy of Managed Care Pharmacy (AMCP) recently named MedImpact’s Lisa Haw,
PharmD, Principal of Clinical Account Management, the recipient of its Managed
Care Pharmacy Residency Director/Preceptor Award. READ MORE

Member resources Next generation Rx portal. At MedImpact, we’re committed to
making it even easier for members to manage their medications and related costs.
That’s why we’re excited to share new features included in our Rx portal and
mobile app. READ MORE

Member resources MedImpact launches new solution that uses genetic testing to
end “trial and error” prescribing. Industry’s first “any drug, any time, any
prescriber” approach to pharmacogenomics improves safety, lowers costs READ MORE


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    * Meet MedImpact
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    * Who We Are
    * Who We Serve


 * CLIENT RESOURCES
   
    * Client news
    * Press releases


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    * Member Login
    * Client Login
    * Pharmacist Login
    * Healthcare Provider
    * Home Delivery
    * Home Delivery


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