Vendor

List your inventory

Reach licensed pharmacy buyers nationwide. Simple pricing — no monthly fees.

Account

Create your login credentials. Password must be at least 6 characters.

Name*Email*

Password*

Confirm Password*

Supplier

Tell us about your business.

Supplier Name*Supplier DBA (if applicable)

Main Contact

Main Contact Name*

Main Contact Phone Number*Main Contact Email*

Billing Department

Billing Department Name*

Billing Dept Phone Number*Billing Dept Email*

Address

Street Address*

WebsitePostal Code*

City*State*

Business & Licenses

Years in Business*DEA License Number (if applicable)

Inventory & Compliance

A few quick questions about your offerings.

Do you offer Generics?

YesNo

Do you offer Brands?

YesNo

Do you offer OTCs?

YesNo

ADD-Accredited?

YesNo

Do you buy Rx from pharmacies to resell?

YesNo

Can you provide Pedigree (T3) on all Rx purchases?

YesNo

How will you load your catalog?*

Disclosures

Required regulatory information.

What licenses does your company hold? (Wholesale, 3PL, etc. — include details)Has your company had any citations and/or offenses on record? (If yes, specify dates and occurrences)In the last 3 years, has any officer or principal of the company been disciplined for any violation of laws pertaining to DCSCA or any healthcare governing body? (If yes, please provide details)

Wholesale License Upload

Attach a copy of your wholesale distribution license.

Wholesale License

Drag your file here or click to browse

.jpg, .png, .jpeg, .pdf

Agreement

Authorized Signer Name*I have read and agree to the Terms and Conditions

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Rx Trade Solutions

The modern marketplace where licensed pharmacies source prescription medications, generics, OTCs and short-dated inventory directly from trusted vendors.

contact@rxtradesolutions.com

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For licensed pharmaceutical buying establishments only.