Request For PMPNow Connection
Name of software product
Is your software product an Electronic Health Record System?
Is your software product an ePrescription Module?
Is your product Pharmacy Management Software?
Are you in good standing with the ONC on the Certified Health IT Product List?
Has your product ever been reprimanded or removed from the Certified Health IT Product List?
What is this product used for?
What is your client base in Illinois?
How many Prescribers would access the IL PMP database information?
How many Pharmacists would access the IL PMP database information?
What connection protocol are you interested in using?
Please provide the best contact information for our team
Additional notes
Please make sure all fields with a red asterisk(*) are completed and no special characters are used (-+=><'")
Connection to the IL PMP is based on the responses above. This will not limit any registered and licensed practitioner, prescriber, or pharmacist from being able to view the information directly from the Illinois PMP site at www.ilpmp.org.
Your request submission has been receieved!
Thank you for using the ILPMP.