Pharmacy application

Join the OnlyScripts network.

Tell us about your pharmacy. Our network team reviews every application and follows up within a few business days.

Pharmacy details

The basics — who you are and where to find you.

Pharmacy legal name *DBA (optional)Only if different from the legal nameWebsite (optional)Street address *City, state, ZIP *

Licensing & registration

Share what you have on hand — the rest can follow later.

Pharmacy NPI *NCPDP ID (optional)DEA registration number (optional)Home-state pharmacy license # (optional)Pharmacist-in-charge (optional)Name & license #Accreditations (optional)e.g. PCAB, URAC

Primary contact

Who our network team should reach out to.

Full name *Title (optional)Email *Phone *

Operations

A quick picture of volume and fulfillment.

Daily fill capacity (optional)Rx per dayTypical turnaround (optional)In daysShipping carriers used (optional)

Pharmacy type

Select all that apply.

Capabilities

Select all that apply.

Shipping & systems

Where you ship and what you run on.

States licensed to ship to *Pharmacy management systemAnything else we should know?

Pharmacy Partner Terms

Pharmacy has read Sections 10–12, including the express ordinary-negligence allocation, defense/indemnity, limited commercial-loss release, damages exclusions and US $1,000 aggregate liability cap, and Section 14.5’s jury waiver and lawfully shortenable contractual claim period. Nonwaivable exceptions remain in effect.

I have read and accept the OnlyScripts Pharmacy Partner Terms and confirm I am authorized to bind the pharmacy identified in this application. *

Version November 1, 2026.

Fields marked * are required. Everything else helps us route you faster.