Forms and Manuals

Please Note:
All forms are in Portable Document Format (PDF). You will need Adobe Acrobat Reader in order to view and print.


*The 'Dispenser Waiver Request Form' is only to be used to request a waiver for specific PMP requirements concerning dispensation uploads. The 'Dispenser Waiver Request Form' does not pertain to e-Prescribing Exemption Requests for controlled substances. Any prescriber seeking an exemption from e-prescribing of controlled substances can find instructions for making the request at: