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The web site madrugcard.com states the following, "Customize and Order Bulk Cards." I noticed that the webpage also stated " As a resident of Massachusetts." They also said " You and your family have access to a statewide Prescription Assistance Program PAP. Discount prescription drug card coupon below. This pharmacy coupon card will provide you with Rx medication savings of up to 75. At more than 68,000 pharmacies across the country including CVSpharmacy, Walgreens, Albertsons, Rite Aid, Walmart." The meta header had Massachusetts prescription assistance as the first optimized keyword. This keyword is followed by discount pharmacy program, online rx savings, and free drug card which isn't as urgent as Massachusetts prescription assistance. The other words madrugcard.com used was save on medicine. reduce insurance costs is included but might not be understood by web engines.