Registration Requirements

FOR YOUR CONVENIENCE

Getting Started

Prior to your Account Registration you must contact our pharmacy to obtain access code to online functions. 

Call Now

All requested information must be completely filled out and licenses must be sent in before your first order can be processed. Please refer to the checklist below for items needed to open an account with EquineRx Now by Premium Health Care Pharmacy.

Register With Our Pharmacy

Account Registration

Form must be completely filled out with practice information and billing information. 

Prescriber License

Include your medical provider license. ie. MD, DO, FNP, NP, PA, etc.

DEA License

If ordering any controls, a DEA License must be inluded.

Register Your Account

If you have received your account registration access code you may click button below to access the Account Registration page and get started. You WILL NOT  be able to access without prior authorization.