PCAN Partnership Form

Thank you for your interest in becoming a member of Pharmacy Choice and Access Now (PCAN). We are a coalition of consumers, local business and pharmacists across the nation committed to preserving quality and affordable health care and pharmacy services for patients. We are committed to advancing the most cost effective solutions in the areas of health care and pharmacy services to enable states around the country to help solve their budget challenges while maintaining quality care for all patients. By joining today you will be a voice for consumer choice and access to quality health care and pharmacy services.

As a member of PCAN, we will be in contact with you periodically to keep you and your organization updated on our initiatives and efforts. We also may ask you to provide articles, images or other information (“materials”) to further PCAN’s. Your membership with PCAN is entirely voluntary and confers no legal rights or obligations on you or your company. There are no membership dues.

Thank you for your support and welcome!

Fill out my online form.

Unless otherwise indicated through contacting the email address below, you consent to the use of your name and/or your organization’s name and logo on PCAN’s website and other promotional materials. If you do not contact us to notify that you opt-out, you attest that you have the authority to give consent to display your organization’s name and logo for this purpose. Further, by contributing any materials to PCAN you explicitly consent that PCAN may use such materials in any manner in furtherance of PCAN’s mission, and for that purpose grant to PCAN a non-exclusive, worldwide, royalty-free license to use, copy, reproduce, modify, adapt, edit, transmit, distribute, display, perform, and create derivative works of such materials.

You may end your membership and have your name or your organization’s name removed from the website at any time by notifying us at [email protected]