PSI Network Interest Form

Pharmacy Network Interest Form

PSI is building a community pharmacy network. We believe there is a great opportunity for community pharmacists to have a big impact on Medicaid patients, and we have a solution to help make the process of completing MTM sessions for these patients easier. If you are interested in learning about our network, please complete the form below. To respect the confidentiality of our partners, we must request each interested pharmacy sign a non-disclosure agreement. Once we have a signed agreement, we will be able to share additional information. By completing this form, you are providing us with contact information to allow us to send you the non-disclosure agreement for your review. You will have an opportunity to review the non-disclosure agreement without any further obligation before proceeding.