Midwest Pharmacy Associates, LLC (MPA). Register

Member Registration

Welcome! To complete the registration, please have your insurance card information ready.

MEMBER ID

Member ID starts with three letters followed by nine numbers (e.g. XOG9xxxxxxxx). Enter the numbers only. *

Do you see a RxGrp number (ex:MMxx) on insurance card?

Yes No

First name: *

Last name: *

Date of birth:

Primary Phone: *

Email: By providing your email address to us, you expressly consent to send communications to you via email. If you do not wish to provide an email address, you can place your OTC order by calling your Member Services. *

Password: *

Password must meet the following requirements:

At least one letter
At least one capital letter
At least one number
At least one special character ()
At least one special character (e.g. #?!@$%^&*-)

Confirm password: *

By clicking Register, I agree that I have read and accept the Online Services Agreement.