Free Monthly Children’s Vitamin Program Enrollment Form

Mainline Pharmacy is now offering free monthly children’s chewable vitamins!

  • Child – 1

  • Child – 2

  • Child – 3

  • Pharmacy Location


  • Participants in Mainline Pharmacy’s Free Monthly Children’s Vitamin Program, upon enrollment, are allowed one (1) FREE thirty (30) count bottle of Mainline Pharmacy brand Children’s Chewable Multivitamins once monthly for the duration of the program or until the child becomes ineligible due to age restrictions. Children must be at least four (4) years of age to participate, and remain eligible until thirteen (13) years of age. The multivitamins supplied are for pick-up only, and are ineligible for Mainline Pharmacy’s free delivery service. If necessary, per their professional judgment, a Mainline Pharmacy pharmacist may contact your child’s pediatrician to confirm their approval of your child’s usage of Mainline Pharmacy Brand Children’s Chewable Multivitamins.