Utah

How to register your pharmacy with the Utah (UT-USIIS) Registry

Step 1: Enrollment

• Please fill out and submit the below form to enroll:
  • USIIS Provider Facility Enrollment Agreement
• Once complete, please send a confirmation email to iis@prescribewellness.com. Be sure to include your pharmacy name, state, and contact information.

Confidentiality Agreements

Please review and sign the below confidentiality agreement. Each user needing access to the system must complete, sign, and submit an agreement:

1. USIIS Confidentiality and Security Policy
2. USIIS User Confidentiality and Security Agreement

Step 2: Documentation in the Vaccinations Tool and Testing

• Please continue to report immunizations to UT-USIIS as well as within your Vaccinations tool while Outcomes works on your pharmacy’s User Confidentiality and Security Agreement

Step 3: Final Steps

Utah Status Check

• The Utah Registry will provide Outcomes with testing credentials
• Once credentials are received, your pharmacy will go into Active testing
• UT-USIIS will review the most recent vaccines and check to see that all required information has been submitted properly
• After approval, UT-USIIS will confirm that your pharmacy is ready for Production.