Portal Access Request

Portal Log-In Enrollment Request

Ph: 1-888-626-5246 Fx: 1-888-626-5731
Enrollment: Our team will contact your office to verify this request and then send you an email to complete the enrollment. You will then have access to our portal, which allows you to monitor the status of prescriptions, send/receive messages to our team and upload/download documents.

Staff Access: We can group individual provider profiles together to allow a single user to access the portal for all providers in their practice. Add all providers to your group.
Request Type*

Start New ProfileEdit Existing Profile
Practice Information
Practice Name
Street Address

Suite

CityState / Province

Postal / Zip Code
*
Practice Phone Number.
*
Practice Fax Number.
Practice Tax Id #.
Portal Account Profile Type*

ProviderStaffAdd AccessRemove Access
Your Name*
Your Title*
Your Email*
Practice Email

Providers to add/remove:*

For Prior Authorizations, BioAccess Pharmacy uses Cover My Meds - with your permission. Please press Submit to finalize Portal Enrollment and sign the permission form.
Portal Web Address: BioAccessRx.com

Click on Provider Button to sign-in
Should be Empty:

Portal Log-In Enrollment Request