User Information

Username *

Email Address *

Accounts Information

Company *

ABN *

Registration requirements are detailed below.

The pharmacy must supply a copy of the registration document which contains an expiry date and the details held on file.

Pharmacy Registration Certificate

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For states and territories where the pharmacy is not provided with a registration document, a copy of the Medicare agreement held with the Federal government and a copy of the pharmacist’s APHRA registration document (in the same name as shown on the Medicare agreement) is required.

Medicare Agreement

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Pharmacists APHRA registration document

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Contact Details

Email (Invoice) *

Company Telephone *

Company Address *

Street address

City

State

Postcode

Shipping Address

Street address

City

State

Postcode

Same as company address

Do you wish to apply for a credit account *

YesNo