For Pharmacies

Join the MDHIN Pharmacy Network

Pharmacies join and participate at no cost. Turn your pharmacy into a community care access point with MDHIN-supported clinical programs, provider collaboration, lab services, RxDirectCare memberships, and RxEnhanced patient programs.

Pharmacies join and participate at no cost.
Review the high-level benefits, complete the agreement and pharmacy setup information below, then submit when ready.

No cost to join

Support RxDirectCare members

Offer lab service pathways

Access clinical program opportunities

Keep patients connected locally

Provider-supported care model

MDHIN Pharmacy Participation Agreement

Download PDF

Pharmacy Setup Information

Legal Pharmacy Name *

DBA / Store Name

Address Line 1 *

Address Line 2

City *

State *

ZIP *

Phone *

Primary Pharmacy Email *

NPI *

Tax ID (EIN)

Pharmacy Management System (optional)

Partner Code (if available)

Website (if available)

Authorized Signer

Signer Full Name *

Title / Role *

Signer Email *

Typed Signature (type full name) *

I certify that I am authorized to bind this pharmacy and agree to the MDHIN Pharmacy Participation Agreement.

Join the MDHIN Pharmacy Network

MDHIN Pharmacy Participation Agreement

Pharmacy Setup Information

Authorized Signer

Thank you for your submission.