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Combined CPESN USA and PPCN Early Adopter Enrollment Fee

Item Options
Price: $99.00
Quantity: *
 
Please indicate which pharmacy and location(s) you are only paying for below. If you have multiple locations and you are only paying for some of your locations with this charge, please specify clearly which ones.
 
Please enter your response below: *
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Description

 

 

The enrollment fee is per location and will be automatically assessed monthly.  The monthly fee includes:

 

$ 85.00 - which PPCN is collecting for CPESN USA and remitting to them

 

$14.00 - which PPCN is collecting and retaining to help offset PPCN administrative and operative costs.

 

Value Drug Company Primary Pharmacies:  Value Drug is providing a subsidy for your enrollment fee of $45 ($40 for CPESN and $5 for PPCN)  DO NOT USE THIS ENROLLMENT FEE for any pharmacy locations that are Value primary. Please use this instead:   Value Early enrollment

 

You can pay for multiple locations with one charge by changing the quantity or if you want them separately charged - please enter separately for each location.

 

If you enrolled 6 locations under your corporate entity but want to pay for 3 with one credit card and 3 with another - be sure to enter each and fill in the specifics for which location in the above box.

 

Thank you for being a participating pharmacy.

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