North Carolina

How to register your pharmacy with the North Carolina (NCIR) Registry

Step 1: Complete the enrollment forms

  1. NCIR Provider Agreement
  2. NCIR Confidentiality Agreement
  3. NCIR HIEA Full Participation Agreement

Note: If your pharmacy does not have a physician, the pharmacist-in-charge may sign the forms instead.

Step 2: Send the Completed Forms to NCIR

Send a copy of the completed forms to NCIR using one of the below methods:

  1. Mail to:
    Immunization Branch
    1917 Mail Service Center
    Raleigh, North Carolina 27699-1917
  2. Fax to:
    Immunization Branch
    1-800-544-3058

Step 3: Send the Completed Forms to PrescribeWellness

Send a copy of the 3 completed forms via email to iisforms@prescribewellness.com.

Step 4: Switch from CVMS to NCIR to manage inventory

  1. Visit https://covid-enroll.ncdhhs.go... and click “Register”
  2. Complete the registration form and click "Sign Up"
  3. In Section A of the Provider Enrollment process, the Organization Administrator will enter:
    1. Organization details
    2. Organization administrator contact details
    3. Locations administering vaccines
    4. Executive Officer (CEO and CMO) information: It is helpful for Organization Administrators to collect all of this information before continuing on to complete Section A
  4. After entering organization and location details, the Organization Administrator will select NCIR as the preferred system for managing COVID-19 vaccines.
  5. If NCIR is selected, the Organization Administrator will be prompted to complete the NCIR agreement. From the drop-down, select “NCIR.” Then agree to the terms of the NCIR agreement and click “Next.”
  6. To complete Section A, the Organization Administrator will enter in the Responsible Officer (CEO and CMO) information and request their signatures.

        Step 5: Document Immunizations

        • Please continue to report immunizations to NCIR and in the Vaccinations tool while Outcomes is working on connection to the state registry

        Disclaimer: The NCIR registry is ready to connect with Outcomes to electronically report all vaccines EXCEPT COVID-19 vaccines. COVID-19 specific vaccines must be reported via the CVMS portal manually. In North Carolina, COVID-19 vaccines are currently not available for electronic reporting via vendors.

        Step 6: Production

        When your pharmacy is approved to Go Live with the state registry for automated reporting, the Outcomes team will send you a confirmation email with your go-live date. Once your pharmacy is in production, you will no longer need to manually report vaccines on your state registry website.