Request Your Pharmacy Tax Information

Get your yearly Pharmacy tax information from Schnucks! Fill out and submit the form below. Our pharmacy staff will verify that your information is correct and will mail a copy of your records to your home. Statements needed for multiple family members, must complete a separate request for each individual

Personal Information

All fields are required unless specified.

Date of Birth:
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Report Date Range:
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to
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01/01/2016 to 12/31/2016
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