input[type="number"]::-webkit-outer-spin-button,
input[type="number"]::-webkit-inner-spin-button {
  -webkit-appearance: none;
  margin: 0; }

input[type="number"] {
  -moz-appearance: textfield; }

.radioList.error {
  color: #e20100; }

.checkbox-consent span.error {
  display: inline-block;
  margin: 1em 0;
  font-size: 16px;
  font-size: 1rem; }

.label_checkbox {
  display: -ms-flexbox;
  display: -webkit-flex;
  display: flex;
  -webkit-align-items: center;
  -ms-flex-align: center;
  align-items: center;
  cursor: pointer;
  width: auto;
  min-height: 30px;
  font-family: "Interstate Light", sans-serif;
  font-weight: 400;
  font-size: 12px;
  font-size: 0.75rem;
  margin-top: 12px; }
  .label_checkbox:before {
    -webkit-flex: 0 0 auto;
    -ms-flex: 0 0 auto;
    flex: 0 0 auto;
    content: '';
    display: block;
    width: 24px;
    height: 21px;
    margin-right: 12px;
    background-color: #e8e8e8; }
  .label_checkbox span {
    -ms-flex: 0 0 90%;
    display: block; }
  .label_checkbox.v-align-top {
    -webkit-align-items: flex-start;
    -ms-flex-align: start;
    align-items: flex-start; }
  .label_checkbox.checked:before {
    background: #e8e8e8 url(../img/checkmark.png) no-repeat center center;
    background-size: 66%; }
  .label_checkbox + span.error {
    visibility: hidden;
    font-size: 12px;
    font-size: 0.75rem;
    color: #e20100; }
  .label_checkbox.error:before, .label_checkbox.warning:before {
    border: 1px solid #f00; }
  .label_checkbox.error + span.error, .label_checkbox.warning + span.error {
    visibility: visible; }
  .label_checkbox.white:before {
    background-color: #fff; }

.label_radio {
  display: -ms-flexbox;
  display: -webkit-flex;
  display: flex;
  -webkit-align-items: center;
  -ms-flex-align: center;
  align-items: center;
  position: relative;
  line-height: 30px;
  cursor: pointer;
  font-size: 12px;
  font-size: 0.75rem;
  font-family: "Interstate Light", sans-serif;
  font-weight: 400; }
  .label_radio.inline {
    display: -ms-inline-flexbox;
    display: -webkit-inline-flex;
    display: inline-flex;
    margin-right: 24px; }
  .label_radio:before {
    -webkit-flex: 0 0 auto;
    -ms-flex: 0 0 auto;
    flex: 0 0 auto;
    content: '';
    display: block;
    width: 32px;
    height: 32px;
    margin-right: 12px;
    background-color: #dbdbdb;
    border: 8px solid #e8e8e8;
    -moz-border-radius: 50%;
    -webkit-border-radius: 50%;
    border-radius: 50%;
    -webkit-box-shadow: 4px 4px 0px 0px rgba(0, 0, 0, 0.25);
    -moz-box-shadow: 4px 4px 0px 0px rgba(0, 0, 0, 0.25);
    box-shadow: 4px 4px 0px 0px rgba(0, 0, 0, 0.25); }
  .label_radio.checked:before {
    background-color: #159c98; }
  .label_radio.error:after {
    content: '';
    position: absolute;
    top: 0;
    left: 0;
    display: block;
    width: 32px;
    height: 32px;
    background-image: url("data:image/svg+xml;charset=US-ASCII,%3Csvg%20xmlns%3D%22http%3A//www.w3.org/2000/svg%22%20viewBox%3D%220%200%2031%2031%22%3E%3Ccircle%20cx%3D%2215.5%22%20cy%3D%2215.5%22%20r%3D%2215%22%20fill%3D%22none%22%20stroke%3D%22%23f00%22%20stroke-width%3D%221%22%20/%3E%3C/svg%3E");
    background-repeat: no-repeat; }
  .label_radio.white:before {
    background-color: #d7e4e3;
    border-color: #fff; }
  .label_radio.white.checked:before {
    background-color: #159c98; }

.text_label,
.select_label {
  display: block;
  font-family: "Interstate Light", sans-serif;
  font-weight: 400;
  font-size: 12px;
  font-size: 0.75rem;
  color: #5f5756;
  margin-top: 10px;
  margin-bottom: 10px; }
  .text_label > span,
  .select_label > span {
    display: block;
    margin-bottom: 5px; }
  .text_label input[type=text], .text_label input[type=email],
  .select_label input[type=text],
  .select_label input[type=email] {
    width: 100%;
    height: 26px;
    background-color: #e8e8e8;
    border: 1px solid #e8e8e8;
    outline: 0px solid #ddd;
    padding: 0 10px;
    -webkit-appearance: none;
    border-radius: 0; }
    .text_label input[type=text]#cardNumber, .text_label input[type=email]#cardNumber,
    .select_label input[type=text]#cardNumber,
    .select_label input[type=email]#cardNumber {
      background-color: #fff;
      border-color: #fff; }
  .text_label select,
  .select_label select {
    background-color: #e8e8e8;
    background-image: url("data:image/svg+xml;charset=US-ASCII,%3Csvg%20xmlns%3D%22http%3A//www.w3.org/2000/svg%22%20viewBox%3D%220%200%2010.5%2010.5%22%3E%3Ccircle%20cx%3D%225.25%22%20cy%3D%225.25%22%20r%3D%224.75%22%20fill%3D%22none%22%20stroke%3D%22%23fff%22%20stroke-miterlimit%3D%2210%22%20/%3E%3Cpolyline%20points%3D%227.63%204.24%205.25%207.26%202.87%204.24%22%20fill%3D%22none%22%20stroke%3D%22%23fff%22%20stroke-linecap%3D%22round%22%20stroke-linejoin%3D%22round%22%20/%3E%3C/svg%3E");
    background-repeat: no-repeat;
    background-position: right top;
    -webkit-appearance: none;
    -moz-appearance: none;
    appearance: none;
    height: 26px;
    background-color: #e8e8e8;
    border: 1px solid #fff;
    outline: 0px solid #dddddd;
    padding: 0 10px;
    width: 100%;
    border-radius: 0; }
    .text_label select:focus,
    .select_label select:focus {
      outline-offset: 0; }
  .text_label.thirds select, .text_label.thirds .selectric-wrapper,
  .select_label.thirds select,
  .select_label.thirds .selectric-wrapper {
    width: 31.0344827586%;
    margin-right: 1.724137931%; }
    .text_label.thirds select:last-of-type, .text_label.thirds .selectric-wrapper:last-of-type,
    .select_label.thirds select:last-of-type,
    .select_label.thirds .selectric-wrapper:last-of-type {
      margin-right: 0; }
  .text_label#label_state,
  .select_label#label_state {
    display: inline-block;
    width: 61.2068965517%;
    margin-right: 1.724137931%; }
  .text_label#label_zip,
  .select_label#label_zip {
    display: inline-block;
    width: 35.3448275862%; }
  .text_label.error,
  .select_label.error {
    font-family: "Interstate", sans-serif;
    font-weight: 400;
    font-weight: 700;
    color: #e20100; }
    .text_label.error input[type=text], .text_label.error input[type=email],
    .select_label.error input[type=text],
    .select_label.error input[type=email] {
      font-family: "Interstate Light", sans-serif;
      font-weight: 400;
      color: #4e4241;
      border: 1px solid #e20100; }
    .text_label.error select,
    .select_label.error select {
      font-family: "Interstate Light", sans-serif;
      font-weight: 400;
      color: #4e4241;
      border: 1px solid #e20100; }
    .text_label.error .selectric-wrapper,
    .select_label.error .selectric-wrapper {
      outline: 1px solid #e20100; }

label .button {
  background-color: #c2c2c2;
  background-image: url("data:image/svg+xml;charset=US-ASCII,%3Csvg%20xmlns%3D%22http%3A//www.w3.org/2000/svg%22%20viewBox%3D%220%200%2010.5%2010.5%22%3E%3Ccircle%20cx%3D%225.25%22%20cy%3D%225.25%22%20r%3D%224.75%22%20fill%3D%22none%22%20stroke%3D%22%23fff%22%20stroke-miterlimit%3D%2210%22%20/%3E%3Cpolyline%20points%3D%227.63%204.24%205.25%207.26%202.87%204.24%22%20fill%3D%22none%22%20stroke%3D%22%23fff%22%20stroke-linecap%3D%22round%22%20stroke-linejoin%3D%22round%22%20/%3E%3C/svg%3E");
  background-repeat: no-repeat;
  background-position: center;
  background-size: 16px; }

input[type="checkbox"],
input[type="radio"] {
  position: absolute;
  left: -9999px; }

.error-box {
  width: 100%;
  padding: 6px 10px 6px 10px;
  margin: 0 0 1em;
  display: none; }
  .error-box p {
    font-family: "Interstate", sans-serif;
    font-weight: 400;
    font-weight: 700;
    font-size: 9px;
    font-size: 0.5625rem;
    color: #f00;
    margin: 0;
    display: none; }
    .error-box p + p {
      margin: 1em 0 0; }
    .error-box p.show {
      display: block; }
    .error-box p.success {
      color: #009b96; }
  .error-box.show {
    border: 1px solid #f00;
    display: block; }

.privacy {
  font-family: "Interstate Light Condensed", sans-serif;
  font-weight: 400;
  font-size: 12px;
  font-size: 0.75rem; }

.chkbx-err.error {
  font-family: "Interstate", sans-serif;
  font-weight: 400;
  font-weight: 700;
  color: #f00; }

@media only screen and (min-width: 66.25em) {
  .selectric-wrapper {
    height: 42px; }
  .selectric {
    height: 42px; }
    .selectric .label {
      height: 42px;
      line-height: 42px;
      font-size: 16px;
      font-size: 1rem; }
    .selectric .button {
      background-size: 25px 27px;
      width: 42px;
      height: 42px; }
  .selectric-items ul, .selectric-items ul li {
    font-size: 16px;
    font-size: 1rem; }
  .radioList.currently-prescribed p {
    text-align: right;
    width: 200px;
    padding-right: 20px;
    float: left; }
  .radioList.currently-prescribed div {
    padding-top: 20px;
    float: left;
    width: 400px; }
  .checkbox-consent {
    margin-left: 200px; }
  .error-box {
    width: 520px;
    padding: 6px 10px 6px 10px;
    margin: 0;
    margin-left: 204px; }
    .error-box p {
      font-size: 10px;
      font-size: 0.625rem; }
  .label_checkbox {
    font-size: 16px;
    font-size: 1rem; }
    .label_checkbox:before {
      width: 48px;
      height: 42px; }
  .label_radio {
    font-size: 16px;
    font-size: 1rem; }
    .label_radio:before {
      -webkit-flex: 0 0 auto;
      -ms-flex: 0 0 auto;
      flex: 0 0 auto;
      width: 38px;
      height: 38px;
      -moz-border-radius: 50%;
      -webkit-border-radius: 50%;
      border-radius: 50%; }
    .label_radio.error:after {
      width: 38px;
      height: 38px;
      background-image: url("data:image/svg+xml;charset=US-ASCII,%3Csvg%20xmlns%3D%22http%3A//www.w3.org/2000/svg%22%20viewBox%3D%220%200%2038%2038%22%3E%3Ccircle%20cx%3D%2219%22%20cy%3D%2219%22%20r%3D%2218.5%22%20fill%3D%22none%22%20stroke%3D%22%23f00%22%20stroke-width%3D%221%22/%3E%3C/svg%3E"); }
  .text_label,
  .select_label {
    font-size: 16px;
    font-size: 1rem; }
    .text_label > span,
    .select_label > span {
      display: inline-block;
      width: 200px;
      text-align: right;
      padding-right: 20px; }
    .text_label#label_cardNumber,
    .select_label#label_cardNumber {
      width: 280px;
      display: inline-block; }
      .text_label#label_cardNumber > span,
      .select_label#label_cardNumber > span {
        width: 100%;
        text-align: left; }
      .text_label#label_cardNumber input[type=text],
      .select_label#label_cardNumber input[type=text] {
        background-color: #fff;
        width: 270px; }
      .text_label#label_cardNumber + .button,
      .select_label#label_cardNumber + .button {
        margin-left: 0;
        display: inline-block;
        width: 220px; }
    .text_label input[type=text], .text_label input[type=email],
    .select_label input[type=text],
    .select_label input[type=email] {
      width: 520px;
      height: 42px; }
    .text_label select,
    .select_label select {
      height: 42px; }
    .text_label.thirds select, .text_label.thirds .selectric-wrapper,
    .select_label.thirds select,
    .select_label.thirds .selectric-wrapper {
      width: 140px; }
    .text_label#label_state,
    .select_label#label_state {
      width: 490px; }
      .text_label#label_state select,
      .select_label#label_state select {
        width: 280px; }
      .text_label#label_state .selectric-wrapper, .text_label#label_state .selectric,
      .select_label#label_state .selectric-wrapper,
      .select_label#label_state .selectric {
        width: 280px; }
    .text_label#label_zip,
    .select_label#label_zip {
      width: 220px; }
      .text_label#label_zip > span,
      .select_label#label_zip > span {
        width: 95px; }
      .text_label#label_zip input,
      .select_label#label_zip input {
        width: 118px; }
  .privacy {
    font-size: 16px;
    font-size: 1rem; } }

/*# sourceMappingURL=form-elements.css.map */