Send in your pre-membership form today.
Qualify Your Pharmacy Today
Click here to download our pre-membership form and checklist.
This form will be used to qualify you for membership with
EPIC Pharmacies and the EPIC Pharmacy Network.
You can also email your request and we will fax or mail the form to you.
Upon completion of the Pre-membership Form
You may fax your completed paperwork to us at 410-667-3786.
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