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var(--lds-g-spacing-300) var(--lds-g-spacing-400);gap:var(--lds-g-spacing-400)}}._formWrapper_1msz8_30{align-items:stretch;gap:var(--lds-g-spacing-900);flex-direction:column;width:100%;display:flex}@media (width<768px){._formWrapper_1msz8_30{gap:var(--lds-g-spacing-700)}}._content_1msz8_1{align-items:stretch;gap:var(--lds-g-spacing-400);flex-direction:column;width:100%;display:flex}@media (width<768px){._content_1msz8_1{gap:var(--lds-g-spacing-300)}}._footer_1msz8_56{align-items:stretch;gap:var(--lds-g-spacing-300);flex-direction:column;width:100%;display:flex}._logoContainer_1msz8_64{align-items:center;gap:var(--lds-g-spacing-200);flex-direction:row;height:3.5rem;display:flex}._logoContainer_1msz8_64 lds-divider{height:3.5rem}@media (width<=768px){._logoContainer_1msz8_64,._logoContainer_1msz8_64 lds-divider{height:2rem}}._wepTactic_1msz8_83{text-align:left;font-size:.75rem}._wepTactic_1msz8_83 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a{color:var(--lds-g-color-action-1);font-family:var(--lds-g-font-family-sans-serif);font-size:var(--lds-g-font-size-neg-1);font-style:normal;font-weight:400;line-height:var(--lds-g-font-line-height-3);-webkit-text-decoration-skip-ink:none;text-decoration-skip-ink:none;text-underline-offset:24%;text-underline-position:from-font;text-decoration-line:underline;text-decoration-style:solid;text-decoration-thickness:calc(1em/25)}._confirmEligibilityContainer_hbv0p_1 p{color:var(--lds-g-color-neutral-base-100);font-size:var(--lds-g-font-size-neg-1);font-style:normal;font-weight:400;line-height:var(--lds-g-font-line-height-3)}._confirmEligibilityContainer_hbv0p_1 p:first-child{font-size:var(--lds-g-font-size-base);font-weight:900}._confirmEligibilityContainer_hbv0p_1 strong{font-weight:900}._confirmEligibilityContainer_hbv0p_1 u{color:var(--lds-g-color-neutral-base-100);font-family:var(--lds-g-font-family-sans-serif);font-size:var(--lds-g-font-size-neg-1);font-style:normal;font-weight:inherit;line-height:var(--lds-g-font-line-height-3);-webkit-text-decoration-skip-ink:none;text-decoration-skip-ink:none;text-underline-offset:24%;text-underline-position:from-font;text-decoration-line:underline;text-decoration-style:solid;text-decoration-thickness:calc(1em/25);-webkit-text-decoration-color:var(--lds-g-color-neutral-base-100);text-decoration-color:var(--lds-g-color-neutral-base-100)}._confirmEligibilityContainer_hbv0p_1 figure ._scrollBox_hbv0p_60{gap:var(--lds-g-spacing-300);height:360px;padding:var(--lds-g-spacing-300) 46px var(--lds-g-spacing-300) var(--lds-g-spacing-300);background-color:var(--lds-g-color-neutral-base-005);border-radius:var(--lds-g-radius-2);flex-direction:column;align-self:stretch;align-items:flex-start;display:flex}._confirmEligibilityContainer_hbv0p_1 figure ._scrollBox_hbv0p_60 .ps__rail-y{border-radius:var(--lds-g-radius-neg-1);background:var(--lds-g-color-neutral-base-020);margin:var(--lds-g-spacing-300) 16px var(--lds-g-spacing-300) 24px;opacity:1!important;width:7px!important;right:0!important}._confirmEligibilityContainer_hbv0p_1 figure ._scrollBox_hbv0p_60 .ps__rail-y .ps__thumb-y{background:var(--lds-g-color-neutral-base-050);width:7px!important;right:0!important}._confirmEligibilityContainer_hbv0p_1 figure ._scrollBox_hbv0p_60 .ps__rail-y:hover .ps__thumb-y{width:7px!important}._conditionSelectionContainer_1yf28_1{gap:var(--lds-g-spacing-200);flex-direction:column;display:flex}._subtextSection_1e88z_1 .brandLink{color:var(--lds-g-color-action-1);font-weight:400;text-decoration:underline}._subtextSection_1e88z_1 .brandLink:hover{opacity:.8}._savingsCardSection_knjc9_1{flex-direction:row;justify-content:center;display:flex}._coPaySavingsCardBanner_1mzq7_1{margin:0 var(--lds-g-spacing-050);text-align:center;padding:var(--lds-g-spacing-200) var(--lds-g-spacing-300) var(--lds-g-spacing-100);background-color:var(--savings-card-banner-bg,var(--lds-g-color-accent-3));color:var(--lds-g-color-neutral-base-000);font-family:var(--lds-g-font-family-sans-serif);flex-direction:column;justify-content:space-between;gap:10px;display:flex}._coPaySavingsCardBanner_1mzq7_1 ._bannerContent_1mzq7_13{margin:var(--savings-card-banner-content-margin,0 4rem);justify-content:center;align-items:center;gap:var(--savings-card-banner-gap,var(--lds-g-spacing-300));display:flex}._coPaySavingsCardBanner_1mzq7_1 ._bannerContent_1mzq7_13 img{width:var(--savings-card-banner-icon-width,138px);height:var(--savings-card-banner-icon-height,var(--lds-g-sizing-11));aspect-ratio:var(--savings-card-banner-icon-aspect-ratio,69/40);object-fit:contain}._coPaySavingsCardBanner_1mzq7_1 ._bannerContent_1mzq7_13 ._bannerText_1mzq7_26{color:var(--lds-g-color-neutral-base-000);font-family:var(--lds-g-font-family-sans-serif);font-size:var(--savings-card-banner-text-font-size,var(--lds-g-sizing-7));font-style:normal;font-weight:900;line-height:var(--savings-card-banner-text-line-height,var(--lds-g-font-line-height-7));text-align:left}._coPaySavingsCardBanner_1mzq7_1 ._bannerContent_1mzq7_13 ._bannerText_1mzq7_26 span{font-weight:400}._coPaySavingsCardBanner_1mzq7_1 ._bannerContent_1mzq7_13:not(:has(img)) ._bannerText_1mzq7_26{text-align:center}._coPaySavingsCardBanner_1mzq7_1 ._bannerSubText_1mzq7_41{color:var(--lds-g-color-neutral-base-000);font-family:var(--lds-g-font-family-sans-serif);font-size:var(--lds-g-sizing-4);font-style:normal;font-weight:400;line-height:1rem}._coPaySavingsCardBanner_1mzq7_1 ._bannerSubText_1mzq7_41 .desktop-only{display:inline}._coPaySavingsCardBanner_1mzq7_1 ._bannerSubText_1mzq7_41 .desktop-only b{font-weight:900}._coPaySavingsCardBanner_1mzq7_1 ._bannerSubText_1mzq7_41 .mobile-only{display:none}._coPaySavingsCardBanner_1mzq7_1 ._bannerSubText_1mzq7_41 .mobile-only b{font-weight:900}._coPaySavingsCardBanner_1mzq7_1:not(:has(._bannerText_1mzq7_26)){gap:0;padding:0}._coPaySavingsCardBanner_1mzq7_1:not(:has(._bannerText_1mzq7_26)) ._bannerContent_1mzq7_13{margin:0}._coPaySavingsCardBanner_1mzq7_1:not(:has(._bannerText_1mzq7_26)) ._bannerContent_1mzq7_13 img{aspect-ratio:auto;width:100%;height:auto}@media (width<=768px){._coPaySavingsCardBanner_1mzq7_1{padding:var(--lds-g-spacing-100) var(--lds-g-spacing-200)}._coPaySavingsCardBanner_1mzq7_1:not(:has(._bannerText_1mzq7_26)){padding:0}._coPaySavingsCardBanner_1mzq7_1:not(:has(._bannerText_1mzq7_26)) ._bannerContent_1mzq7_13 img{aspect-ratio:auto;width:100%;height:auto}._coPaySavingsCardBanner_1mzq7_1 ._bannerContent_1mzq7_13{gap:var(--savings-card-banner-gap,var(--lds-g-spacing-300));width:100%;margin:0 auto}._coPaySavingsCardBanner_1mzq7_1 ._bannerContent_1mzq7_13 img{width:var(--savings-card-banner-icon-width,117.811px);height:var(--savings-card-banner-icon-height,var(--lds-g-sizing-11));aspect-ratio:var(--savings-card-banner-icon-aspect-ratio,81/55);object-fit:contain}._coPaySavingsCardBanner_1mzq7_1 ._bannerContent_1mzq7_13 ._bannerText_1mzq7_26{color:var(--lds-g-color-neutral-base-000);font-family:var(--lds-g-font-family-sans-serif);font-size:var(--savings-card-banner-text-font-size,var(--lds-g-sizing-7));font-style:normal;font-weight:900;line-height:var(--savings-card-banner-text-line-height,var(--lds-g-font-line-height-9));text-align:left}._coPaySavingsCardBanner_1mzq7_1 ._bannerContent_1mzq7_13 ._bannerText_1mzq7_26 span{font-weight:400}._coPaySavingsCardBanner_1mzq7_1 ._bannerContent_1mzq7_13 ._bannerText_1mzq7_26{width:var(--savings-card-banner-text-width,153px);word-break:break-word}._coPaySavingsCardBanner_1mzq7_1 ._bannerSubText_1mzq7_41{width:100%;max-width:90vw;margin:0 auto}._coPaySavingsCardBanner_1mzq7_1 ._bannerSubText_1mzq7_41 .desktop-only{display:none}._coPaySavingsCardBanner_1mzq7_1 ._bannerSubText_1mzq7_41 .mobile-only{display:inline}}._mobileBannerImage_1mzq7_125{display:none}@media (width<=768px){._desktopBannerImage_1mzq7_130{display:none}._mobileBannerImage_1mzq7_125{display:block}}._selfPaySavingsCardBanner_e17xr_1{margin:0 var(--lds-g-spacing-050);text-align:center;padding:var(--lds-g-spacing-100) var(--lds-g-spacing-250);background-color:var(--savings-card-banner-bg,var(--lds-g-color-accent-3));color:var(--lds-g-color-neutral-base-000);font-family:var(--lds-g-font-family-sans-serif);flex-direction:column;justify-content:space-between;gap:10px;display:flex}._selfPaySavingsCardBanner_e17xr_1 ._bannerContent_e17xr_13{margin:var(--savings-card-banner-content-margin, );justify-content:space-between;align-items:center;gap:var(--savings-card-banner-gap,var(--lds-g-spacing-300));align-self:stretch;display:flex}._selfPaySavingsCardBanner_e17xr_1 ._bannerContent_e17xr_13 img{width:var(--savings-card-banner-icon-width,138px);height:var(--savings-card-banner-icon-height,var(--lds-g-sizing-11));aspect-ratio:var(--savings-card-banner-icon-aspect-ratio,69/40);object-fit:contain}._selfPaySavingsCardBanner_e17xr_1 ._bannerContent_e17xr_13 ._bannerText_e17xr_27{color:var(--lds-g-color-neutral-base-000);font-family:var(--lds-g-font-family-sans-serif);font-size:var(--savings-card-banner-text-font-size,var(--lds-g-sizing-7));font-style:normal;font-weight:900;line-height:var(--savings-card-banner-text-line-height,var(--lds-g-font-line-height-7));text-align:right}._selfPaySavingsCardBanner_e17xr_1 ._bannerContent_e17xr_13 ._bannerText_e17xr_27 span{font-weight:400}._selfPaySavingsCardBanner_e17xr_1 ._bannerContent_e17xr_13:not(:has(img)) ._bannerText_e17xr_27{text-align:center}._selfPaySavingsCardBanner_e17xr_1 ._bannerSubText_e17xr_42{color:var(--lds-g-color-neutral-base-000);font-family:var(--lds-g-font-family-sans-serif);font-size:var(--lds-g-sizing-4);text-align:right;font-style:normal;font-weight:400;line-height:1rem}._selfPaySavingsCardBanner_e17xr_1 ._bannerSubText_e17xr_42 .desktop-only{display:inline}._selfPaySavingsCardBanner_e17xr_1 ._bannerSubText_e17xr_42 .desktop-only b{font-weight:900}._selfPaySavingsCardBanner_e17xr_1 ._bannerSubText_e17xr_42 .mobile-only{display:none}._selfPaySavingsCardBanner_e17xr_1 ._bannerSubText_e17xr_42 .mobile-only b{font-weight:900}._selfPaySavingsCardBanner_e17xr_1:not(:has(._bannerText_e17xr_27)){gap:0;padding:0}._selfPaySavingsCardBanner_e17xr_1:not(:has(._bannerText_e17xr_27)) ._bannerContent_e17xr_13{margin:0}._selfPaySavingsCardBanner_e17xr_1:not(:has(._bannerText_e17xr_27)) ._bannerContent_e17xr_13 img{aspect-ratio:auto;width:100%;height:auto}@media (width<=768px){._selfPaySavingsCardBanner_e17xr_1{padding:var(--lds-g-spacing-100) var(--lds-g-spacing-200)}._selfPaySavingsCardBanner_e17xr_1:not(:has(._bannerText_e17xr_27)){padding:0}._selfPaySavingsCardBanner_e17xr_1:not(:has(._bannerText_e17xr_27)) ._bannerContent_e17xr_13 img{aspect-ratio:auto;width:100%;height:auto}._selfPaySavingsCardBanner_e17xr_1 ._bannerContent_e17xr_13{gap:var(--savings-card-banner-gap,var(--lds-g-spacing-300));width:100%;margin:0 auto}._selfPaySavingsCardBanner_e17xr_1 ._bannerContent_e17xr_13 img{width:var(--savings-card-banner-icon-width,117.811px);height:var(--savings-card-banner-icon-height,var(--lds-g-sizing-11));aspect-ratio:var(--savings-card-banner-icon-aspect-ratio,81/55);object-fit:contain}._selfPaySavingsCardBanner_e17xr_1 ._bannerContent_e17xr_13 ._bannerText_e17xr_27{color:var(--lds-g-color-neutral-base-000);font-family:var(--lds-g-font-family-sans-serif);font-size:var(--savings-card-banner-text-font-size,var(--lds-g-sizing-7));font-style:normal;font-weight:900;line-height:var(--savings-card-banner-text-line-height,var(--lds-g-font-line-height-9));text-align:right}._selfPaySavingsCardBanner_e17xr_1 ._bannerContent_e17xr_13 ._bannerText_e17xr_27 span{font-weight:400}._selfPaySavingsCardBanner_e17xr_1 ._bannerContent_e17xr_13 ._bannerText_e17xr_27{width:var(--savings-card-banner-text-width,153px);word-break:break-word}._selfPaySavingsCardBanner_e17xr_1 ._bannerSubText_e17xr_42{width:100%;max-width:90vw;margin:0 auto}._selfPaySavingsCardBanner_e17xr_1 ._bannerSubText_e17xr_42 .desktop-only{display:none}._selfPaySavingsCardBanner_e17xr_1 ._bannerSubText_e17xr_42 .mobile-only{display:inline}}._mobileBannerImage_e17xr_127{display:none}@media (width<=768px){._desktopBannerImage_e17xr_132{display:none}._mobileBannerImage_e17xr_127{display:block}}._carousel_1stsw_1{width:100%}._track_1stsw_5{gap:var(--lds-g-spacing-400);scroll-snap-type:x mandatory;scroll-behavior:smooth;scrollbar-width:none;display:flex;overflow-x:auto}._track_1stsw_5::-webkit-scrollbar{display:none}._slide_1stsw_17{scroll-snap-align:start;flex:0 0 31.25rem;height:19.625rem;overflow:hidden}@media (width<=768px){._slide_1stsw_17{height:unset;flex:0 0 100%}}._controls_1stsw_30{margin-top:var(--lds-g-spacing-300);justify-content:center;display:flex}._savingsCardButtonsSection_1bzmy_1{padding:var(--lds-g-spacing-200) 0 var(--lds-g-spacing-300);margin-bottom:var(--lds-g-spacing-200);place-content:center;align-items:flex-start;gap:var(--lds-g-spacing-200);flex-wrap:wrap;align-self:stretch;display:flex}@media (width<768px){._savingsCardButtonsSection_1bzmy_1{padding-top:0}}._savingsCardButton_1bzmy_1{height:var(--lds-g-spacing-600);justify-content:center;align-items:center;gap:var(--lds-g-spacing-150);display:flex}._savingsCardButton_1bzmy_1 span{font-size:var(--lds-g-font-size-base)}._walletIcon_1bzmy_29{width:var(--lds-g-spacing-300);vertical-align:middle;height:auto}._appleWalletContainer_1bzmy_35{gap:var(--lds-g-spacing-100);flex-direction:column;min-width:0;display:flex}._appleWalletError_1bzmy_42,._googleWalletError_1bzmy_43{align-items:flex-start;gap:var(--lds-g-spacing-100);width:245px;display:flex}._appleWalletErrorIcon_1bzmy_50,._googleWalletErrorIcon_1bzmy_51{color:var(--lds-g-color-palette-red-070);flex-shrink:0;margin-top:2px}._appleWalletErrorText_1bzmy_57,._googleWalletErrorText_1bzmy_58{color:var(--lds-g-color-palette-red-070);font:var(--lds-g-typography-ringside-body-small);line-height:var(--lds-g-font-line-height-4);word-wrap:break-word;overflow-wrap:break-word}._lifestyleTipsCard_1lw14_1{margin-top:var(--lds-g-spacing-200);margin-bottom:var(--lds-g-spacing-200)}._subheading_1lw14_6{padding:var(--lds-g-spacing-200) 0 var(--lds-g-spacing-200) 0}@media (width<768px){._lifestyleTipsCard_1lw14_1{margin-bottom:0}}._checkboxContainer_7pfxm_1{gap:var(--lds-g-spacing-500);flex-direction:column;display:flex}._checkboxContainer_7pfxm_1 lds-checkbox{--lds-g-typography-ringside-body-medium:var(--lds-g-font-style-bold) var(--lds-g-font-size-base) / 1.5 var(--lds-g-font-family-sans-serif)}._savingsAndSupportSection_1ek1r_1,._instructionInfoSection_1lqza_1{gap:var(--lds-g-spacing-400);flex-direction:column;display:flex}._instructionText_1lqza_7{gap:var(--lds-g-spacing-300);flex-direction:column;display:flex}._customBulletList_1lqza_13{list-style:none}._customBulletList_1lqza_13 li:not(:last-child){margin-bottom:var(--lds-g-spacing-100)}._customBulletItem_1lqza_21{align-items:center;gap:var(--lds-g-spacing-100);display:flex}._customBulletItem_1lqza_21 svg{flex-shrink:0}._customBulletItem_1lqza_21 span{flex:1}._careOptionsSection_cuhsh_1{gap:var(--lds-g-spacing-400);flex-direction:column;display:flex}._buttonRow_cuhsh_7{column-gap:var(--lds-g-spacing-400);row-gap:var(--lds-g-spacing-200);flex-flow:wrap;display:flex}._subtext_cuhsh_15{color:var(--lds-g-color-neutral-base-060)}._patientTypeSection_1o47c_1{gap:var(--lds-g-spacing-400);flex-direction:column;display:flex}._calloutCard_159qv_1{margin-top:var(--lds-g-spacing-300)}._calloutCard_159qv_1 .lds-text-body-medium{font-size:var(--lds-g-font-size-2)}._calloutCard_159qv_1 .h4{text-wrap:wrap}@media (width<768px){._contentWrapper_p1yfy_1{gap:var(--lds-g-spacing-300);padding-top:56px}}._contentWrapper_p1yfy_1{text-align:center;align-self:stretch;align-items:center;gap:var(--lds-g-spacing-600);flex-direction:column;width:100%;display:flex}._iconContainer_p1yfy_11{justify-content:center;align-items:center;width:100%;display:flex}._textContainer_p1yfy_18{gap:var(--lds-g-spacing-300);flex-direction:column;display:flex}._subHeader_p1yfy_24{font:var(--lds-g-typography-ringside-heading-6-default)}@media (width<768px){._contentWrapper_p1yfy_1{gap:var(--lds-g-spacing-300);padding-top:56px}}._formWrapper_15ofe_1{gap:var(--lds-g-spacing-600)}._submitButtonSection_15ofe_5{margin-bottom:var(--lds-g-spacing-1800)}._termSection_1stdb_1{padding:var(--lds-g-spacing-0) 0 0 0;align-items:flex-start;gap:var(--lds-g-spacing-200);flex-direction:column;display:flex}._termSubtext_1stdb_9 p{margin:0}._termSubtext_1stdb_9 a{color:var(--lds-g-color-action-1);-webkit-text-decoration-skip-ink:none;text-decoration-skip-ink:none;text-underline-offset:24%;text-underline-position:from-font;text-decoration-line:underline;text-decoration-style:solid;text-decoration-thickness:calc(1em/25)}._tabsContainer_a6b5r_1{padding:var(--lds-g-spacing-500) var(--lds-g-spacing-400);border-radius:var(--lds-g-radius-6);border:1px solid var(--lds-g-color-neutral-base-030)}._headerContainer_a6b5r_7{margin-top:var(--lds-g-spacing-300)}._textField_a6b5r_11{width:60%;display:block}@media (width<576px){._textField_a6b5r_11{width:100%}}._verifyEmailErrorIcon_a6b5r_21{color:var(--lds-g-color-palette-red-070);vertical-align:middle}._verifyEmailError_a6b5r_21{padding-top:var(--lds-g-spacing-100);color:var(--lds-g-color-palette-red-070);align-items:center;gap:var(--4xs,8px);align-self:stretch;display:flex}