Create your TOM MMS account

You'll be asked to confirm your facility and plan in the next step.

Full Name *

Credentials

State Pharmacy License Number *

DEA Registration Number (optional)

NPI Number (optional)

Company / Firm Name (optional)

Email *

Phone *

Password *

○ At least 12 characters
○ At least 1 uppercase letter
○ At least 1 lowercase letter
○ At least 1 number

Confirm Password *

Authorization to sign agreements

Your title / role at the facility *

I represent that I am authorized to sign legal agreements on behalf of the facility named in the next step.

Agreements

(required)

I have read and agree to the Business Associate Agreement.

Terms of Service and Privacy Policy open in a scrollable window above. You must scroll to the bottom before the Accept button enables. The BAA opens in a new tab. You can review all three any time at /legal.

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