Employees

We have detected {{errorscount}} error(s) with your form. Please review the fields marked red and make all necessary changes before submitting this form again.

Complete this form for timely help with your Walgreens Balance Rewards partner benefits question(s) or comment(s).

To: Walgreens | Subject: Balance Rewards › Partner Benefits › Employees

All fields are required unless otherwise indicated.

Note: Please do not submit confidential or sensitive information such as medical or prescription information, refill requests, social security numbers, or credit card numbers on this form.

Your contact information

I do not wish to be contacted about this inquiry. *

Please contact me about this inquiry.

*It may be necessary in some cases for Customer Service to contact the customer in order to complete a request.

First Name:

Please enter your first name.

Please enter a valid first name only with letters.

Last Name:

Please enter your last name.

Please enter a valid last name only with letters.

Email Address:

(Optional)

Disclaimer: Entering your email will opt you out of ALL accounts associated with this email. If you have multiple accounts with this email and wish to opt out of only select accounts, please call 1-877-250-5823.

We will email you back within one business day. If your question is clinical, we will have a pharmacist call you back.

Please enter your email address.

Your email is not in a valid format. Example= john.smith@yahoo.com

Screen name:

(Optional)

Please enter you screenName

Please enter valid screen name with letters and numbers only.

Telephone:

(Optional)

Any clinical questions will require a phone number for the pharmacist to contact you.

Please enter your phone number.

Please type your 10-digit phone number in this format: 5551234444.

Is it OK to leave a message at this number?

Yes

Order Number:

(Optional)

Please enter your order number.

Please enter a valid order number.

Address:

(Optional)

Please type your postal address.

Please type a valid postal address.

City:

(Optional)

Please enter a city.

Please retype your city.

State:

Please select a state from the menu.

ZIP Code:

(Optional)

Please correct your Zip Code. Make sure to follow this format: 12345.

Please enter a valid ZIP Code in this format: 12345.

DOB:

Please correct your dob

Member Id:

(Optional)

Please enter a valid member ID. Your answer can only contain numbers.

Current role

(Optional)

Please enter you current role

Please enter the valid current role

Message

Please write a few lines and provide as much detail about the issue as possible.

See our Online Privacy & Security Policy {{3950 - contactFormObj.commentDetail.length}} character max

Product information

Product Name:

Please type the name of the product.

Please enter a valid product name. Your answer can only contain letters.

UPC Number:

(Strongly Recommended)

Please enter an 11-digit UPC number.

Order Number

(Optional)

Please enter order number

Please enter a valid order number

Message

Please write a few lines and provide as much detail about the issue as possible.

See our Online Privacy & Security Policy {{3950 - contactFormObj.commentDetail.length}} character max

Card Information

Type of card

Please enter the name or brand of card.

Card Number:

(Strongly Recommended)

Please type your card number

Please retype your card number;it cannot contain letters.

Estimated Purchase Date:

Please enter your date of purchase

Please select a store

Message

Please write a few lines and provide as much detail about the issue as possible.

See our Online Privacy & Security Policy {{3950 - contactFormObj.commentDetail.length}} character max

Store Information

(Optional).

Please select a store

Date of Visit:

(Optional)

Please enter your date of visit

Time of Visit:

(Optional)

Please select an hour

Please select an minute

Employee Name

(Optional)

Please enter employee name.

Please enter a valid employee name

Message

Please write a few lines and provide as much detail about the issue as possible.

See our Online Privacy & Security Policy {{3950 - contactFormObj.commentDetail.length}} character max

Primary Cardholder information

I am the Primary Cardholder

First Name:

Please enter you first name.

Please enter a valid first name only with letters.

Last Name:

Please enter your last name.

Please enter a valid last name only with letters.

Employer

Please enter your employer's name.

Please enter a valid employer. Your answer can only contain letters.

Member ID:

Please enter your member number.

Please enter a valid member ID. Your answer can only contain numbers.

Group Number:

(Optional)

Please enter a valid group number. Your answer can only contain letters and/or numbers.

RxBIN:

Please enter your Rx BIN.

Please enter a valid RXBin. Your answer can only contain letters and/or numbers.

RxPCN:

Please enter your Rx Processor Control Number.

Please enter a valid RXPCN. Your answer can only contain letters and/or numbers.

Input Code

(Optional)

Please enter a valid input code.

Please select a store

Cancel

We welcome your comments and feedback. However, please remember any message or other communication sent to Walgreen Co. becomes the exclusive intellectual property of Walgreen Co. and does not entitle the author to any form of compensation.

Confirmation

We have received your comment or question about {{tier3}}, and will send it to the appropriate department to review.

If you've provided your contact information, a Walgreens Customer Service Representative will provide a response.

Your comments and questions help us improve our level of service to you.

Thank you for taking time to share your thoughts,

Walgreens Customer Service

Return to Contact Us home

Employees

Your contact information

Product information

Reason(s) for contact today (optional)

Card Information

Store Information

Primary Cardholder information

Confirmation