We will be pleased to add you to our network and look forward to a mutually beneficial relationship. PBM Plus maintains an open network of affiliated pharmacies that is accessible to all PBM Plus members.

Please print the Pharmacy Network Agreement (pdf) and complete all requested information. Mail the agreement along with a copy of your liability insurance declaration page and a current W-9 to:

PBM Plus
300 TechneCenter Drive
Suite B
Milford, OH 45150
Attn: Provider Contracting

Or you may fax the completed agreement along with a copy of your liability insurance declaration page and a current W-9 to: 513-248-3264.

If you do not have a current W-9, you may print a pdf version to complete.

We will return a signed copy of the agreement for your records.

If you have any questions or comments feel free to contact PBM Plus at providerservices@pbmplus.com or call 866-618-3494.