Welcome To NCPDP

Create User

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Create New Account

We do not send your username, password and pin to you. Please write this information down so you can log in when your account is activated.

User name*

Mailing Address 1

Password*
Your password must be at least eight characters long with no spaces and contain a mix of upper and lower case letters, numbers and at least one special character.

Mailing Address 2

Pin*
Your pin must be a four digit number

City

Name Prefix

State

First Name*

Zip Code

Middle Initial

Phone Number*

Last Name*

Fax Number

Name Suffix

Extension

Title

E-mail Address*

Please choose the most appropriate reason for applying for a User Account with NCPDP.*

I need a User Account to apply for new NCPDP Number
I need a User Account to access the NCPDP Change of Ownership Application
I need a User Account to access existing NCPDP Number(s)- I will include Number(s) in notes
I need a User Account to access a Chain or Relationship code- I will include Number(s) in notes
I have forgotten my User Account information and need a new one- I will include my NCPDP Number(s) in notes

Additional Notes

Please include any additional information that may be relevant in the notes section.
If you need to specific NCPDP Number(s) or Relationship Code(s) please include notes.

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