{{regActiveStep == 'step2' ? "Step2" : "Step5"}}: License Verification
{{regActiveStep == 'step2' ? "Step2" : "Step5"}}: License Verification By {{sitename}}
Your Registration is Pending: Please upload a copy of your {{deaText}} License and State Board of Pharmacy License via the links below.
If you are unable to Upload them, please email them to license@primerx.io or fax to 1-800-265-6932.
Please allow up to 24 business hours from the time your licenses are submitted for your account to be validated.
Next Steps: Once your account is activated, look for an email titled "Your {{sitename}} Membership is Now Active." Follow the steps to Launch {{sitename}} and start saving today!
If you need any further assistance, please message us via Chat at the bottom of your screen or email us at customerservice@primerx.io
Next Steps: Once your account is activated, look for an email titled "Your {{sitename}} Membership is Now Active." Follow the steps to Launch {{sitename}} and start saving today!
If you need any further assistance, please message us via Chat at the bottom of your screen or email us at customerservice@primerx.io
Your Registration is Pending
Please upload your Licenses and your Registration will be reviewed for consideration.
1. Upload a copy of your current DEA License
2. Upload a copy of your current home State Wholesaler License
If you are unable to Upload the licenses you can email them to license@primerx.io or fax to 1-800-265-6932.
Next Steps: If you are being considered for approval of participation as a Wholesaler on the Marketplace, we’ll contact you to go over next steps.
Please upload your Licenses and your Registration will be reviewed for consideration.
1. Upload a copy of your current DEA License
2. Upload a copy of your current home State Wholesaler License
If you are unable to Upload the licenses you can email them to license@primerx.io or fax to 1-800-265-6932.
Next Steps: If you are being considered for approval of participation as a Wholesaler on the Marketplace, we’ll contact you to go over next steps.
Thank you for uploading the necessary documentation.
Your Registration is Pending Approval: Allow up to 24 business hours for your account to be validated.
While you are waiting for approval, upload a copy of your most recent 90-day Drug Utilization Review (DUR) Report below and we'll begin our research on which items you can find the best savings through the {{sitename}} platform.
DUR Report
File Types 'jpg', 'jpeg', 'rtf', 'png', 'pdf', 'pict', 'tiff', 'xls', 'xlsx', 'csv', 'txt', 'doc', 'docx' Accepted. *.xls is preferred
Next Steps: Once your account is activated, look for an email titled "Your {{sitename}} Membership is Now Active".
Follow the steps to Launch {{sitename}} and start saving today!
Follow the steps to Launch {{sitename}} and start saving today!
*If the time has exceeded 24 business hours since submitting your licenses without correspondence from {{sitename}}, Check the spam folder in your email and if it is not in there either, then contact us via the Chat at the bottom of your screen.
State License
(Required)
(Required)
Note: Please submit a copy of your home state Wholesaler License, the state that your company resides in.
DEA / HIN #
(Required)
(Required)
Global Location Number (GLN) Certificate
(Optional)
(Optional)
You may also upload a copy of your Sales Tax-Exemption Certificate below if applicable. If you wish to continue without uploading a Sales Tax-Exemption Certificate, please click the Ready to Validate button below.
Sales Tax-Exemption Certificate
(Optional)
(Optional)