Name*
Pharmacy Name*
E-mail*
Phone Number
Number of Stores
States where stores are located
Select Software System*

$325 per provider per year

$2,000 one time set up fee

*Minimum of 4 providers. Volume discounts available upon request.

$50 per store per month

$60 per store per month

$200 one time set up fee

* Chain discounts available upon request