Provider Enrollment

Set up your practice on PEPTPlus.

1Plan

2Account

3Licensing

4Payment

5Agreements

Choose your plan

Flat monthly subscription. No per-prescription fees. Cancel anytime.

Your account

We use this to verify you and set up your prescriber profile.

Full name

Practice name

Work email

NPI number

You'll create your sign-in the first time you log in. There's no password to set here.

Specialty

Phone

Licensing

PEPTPlus only lets you prescribe into states where you hold an active medical license. Add each state and its license number.

StateMedical license #

I attest my licenses are active and I have valid prescriber-patient relationships.

Payment

You won't be charged until your prescriber profile is verified.

Payment details are collected on Stripe's secure checkout after you submit. PEPTPlus never sees or stores your card number.

Professional: $449/mo, cancel anytime, no per-prescription fees.

Agreements

PEPTPlus handles patient health information on your behalf, so HIPAA requires a Business Associate Agreement between your practice and PEPTPlus.

I have read and sign the Business Associate Agreement (BAA) on behalf of my practice.I agree to the PEPTPlus Provider Terms of Service.

Required by HIPAA before any patient information is exchanged. A signed copy is saved to your account.

Application submitted

Thanks! Your provider application is pending review. Sign in now to set up your account, and we'll email you the moment your prescriber profile is verified.

Provider Enrollment

Choose your plan

Essentials

Professional

Clinic

Your account

Licensing

Payment

Agreements

Application submitted