Delaware

Step 1: Please complete the below form

• DelVAX Facility Code Request Form
  • Fill out all information pertaining to your pharmacy
  • Please include your pharmacy's main point of contact

Step 2: Email Confirmation

• Please email iisforms@prescribewellness.com with the following subject line: [Pharmacy Name] / Vaccinations Tool / DelVAX Enrollment Completed
• The body of the email can include your pharmacy's details and confirmation that you have completed the DelVAX enrollment steps above.

Step 3: Documenting in the Vaccinations tool and Testing

• Please document all administered immunizations in the Outcomes Vaccinations tool.
• During this time, our team will work with DeVAX to set up your pharmacy’s credentials and connection feed. We will also begin the data testing stage and process.

Step 4: Final Steps

Outcomes will send you a confirmation email once your pharmacy has been approved for production and is live to report to the Delaware Registry with the Vaccinations tool.