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Registration Form - Marking Prescription Medication for Retail Sale

New Registration

To begin a new registration, please click New Registration below.

Continue/Modify Current Registration

To complete or modify an existing registration, enter your last name and the email address used in registration below, then click Continue.

If you have canceled your registration, please contact us to update your registration.

Last Name
Email Address

NOTE: Your registration is not valid until you have successfully completed the entire process and received a printable confirmation page and an email confirmation.

Email Registration Assistance