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Register for Access to Formulary Kits

Formkit.com provides around-the-clock free access to specific formulary kit information for the key decision makers at hospitals, managed care organizations, long-term care, and federal facilities.

Kit components include product overviews, disease overviews, dosing information, product fact sheets, product monographs, clinical summaries, slide decks, selected clinical references, full prescribing information and important safety information.

Use the form below to register for access to the formulary kits. Your application will be reviewed within one business day. To be approved, you need to be a member of a U.S.-based P&T or formulary committee at a hospital, health plan, nursing home/long-term care facility, or for a government agency.

In order for your application to be verified, you need to provide your supervisor’s contact information in the fields below.

All required fields appear in RED.
If you have a registration code from a mailing, enter it here:
Title:
First Name:
Last Name:
Primary E-Mail Address:
Secondary E-Mail Address:
Organization:
Address:
City:
State/Province:
Zip/Postal Code:
Country:
Office Phone:
Office Fax:
Username (up to 12 characters): (No spaces please!)
Password (up to 12 characters):
Confirm Password:
City of Birth:
(this information will speed retrieval of our username or password should you forget either in the future)
Are you a prescriber? YES
NO
Do you serve on a P&T Committee? YES
NO
Are you the chair
of your P&T Committee?
YES
NO
Please provide the name and contact information of your supervisor, Chief of Pharmacy, or Medical Director so that we can confirm your formulary responsibilities. We will only contact this person to verify your status.
Supervisor Name:
Supervisor Title:
Supervisor Email:
If the committee serves an organization other than your place of employment,
enter the organization name:

Education Level: 1st:     2nd:     3rd:  
Which of the following best describes you?
(You must complete at least one of the fields at right.)

Physician Specialty

Pharmacist Specialty

Executive/Administrative

Other Specialty

If other, please specify
Primary Workplace:
How many covered lives in your organization?  covered lives
If you work in a hospital, how many staffed beds are there?  staffed beds
How did you hear about PTcommunity.com?
What topics would you like to see addressed by PTcommunity.com?
Check here if you would also like to receive our weekly email newsletter? YES
NO
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