W E L C O M E: To The Online Ordering Center

 
This online ordering site was developed by CommuniForm in conjunction with NCPDP (National Council for Prescription Drug Program) for the exclusive online ordering of the Universal Claim Forms.

Click on the appropriate category below to order your forms.

 
New Users

Set up a new user account and profile for online ordering.

If this is your first time to this site Click Here

Fax Order Form

If you prefer to fax your order in to us. Please PRINT OUT this Fax Order Form, complete it, then Fax it in to us.

We recommend for ease of use and tracking of your order to set up a New User  account (left column) for quicker ordering and delivery.

Returning Users

You have previously set up your user account and profile and you have a valid username and password.
 

 

For Customer Service please call 800-869-6508

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