Manual of Instructions - Appendix A

Application Instructions to Establish a New HCS Account

The application forms may be obtained by e-mailing a request to: The e-mail must include the information as specified in 1-4 below:

1. In the e-mail subject heading state:

  • "HCS Application Request"

2. In the body of the E-mail include:

  • The Name of the Pharmacy, Mailing Address
  • Telephone Number, Fax Number
  • DEA License Number, NPI Number (If Available)
  • NCPDP Number (formerly referred to as NABP Number)
  • NYS Board of Pharmacy License Number

3. Pharmacies must designate a "Director" (typically the pharmacy owner or supervising pharmacist) for the account. In the body of the e-mail include:

  • The full First name, Middle name, Last name
  • Title
  • Date of Birth
  • E-mail address, Telephone Number

4. The Director may authorize other persons to establish separate HCS accounts. Such authorized person designated by the Director is considered a "Coordinator". Clearly specify proposed coordinator(s), and include in the body of the e-mail:

  • The full First name, Middle name, Last name
  • Date of Birth
  • E-mail address, Telephone Number

Once the Department has received your E-mail request, the necessary HCS application forms will be E-mailed to you. Follow the instructions provided and retain a copy for your records.

  • Each pharmacy/corporation must complete the "Participant Organization Security and Use Policy" within the packet (document 1 of the Security and Use Packet).
  • Each individual user must complete an "Individual User Security and Use Policy and Application" (document 2 of the packet). Once an account has been approved, individual confidential user IDs and passwords will be assigned.