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- Pharmacy OCS Code is a mandatory field
- Email Address is a mandatory field
- Title is a mandatory field
- First Name is a mandatory field
- Surname is a mandatory field
- Pharmacy Name is a mandatory field
- Address Line 1 is a mandatory field
- Post Code is a mandatory field
- Telephone Number is a mandatory field
Pharmacy Registration
If you wish to register with the Prescription Pricing Authority, to sell Prescription Pre-payment Certificates (PPCs) from your pharmacy on our behalf, please complete the registration form below. Please ensure that you have sufficient authority to make this application from either the owner or head office of the business.
For a copy of the guidance in respect of selling PPCs please click here
Fields marked  are mandatory. Please complete all mandatory fields.
Please Note
If you have not read our statement relating to the use of your personal information, please do so now.
Data Protection Act 1998: The Prescription Pricing Authority will only use the information that you have provided on the above form for processing your registration to sell PPCs on our behalf. We will not disclose your Personal Data to any third party or transfer it outside of the EEA. We may contact you to discuss your registration by any of the methods you have entered on the above form. Your personal details will be held on our files whilst we are processing your registration. Once completed we will remove your details from our registration files within 3 months.
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