PTS Diagnostics - A1C Now/CardioCheck Pricing Contract

PTS Diagnostics - A1C Now/CardioCheck Pricing Contract
PTS Diagnostics has a CPESN network pricing opportuntiy for their A1c Now 20 count packages and CardioChek Plus Healthcare Professional technology. See the attached document for the 2026 CPESN IOWA Group price list.

Pharmacies can access this pricing by completing this form. PTS Diagnostics will create a pricing contract for your site and the distributor of your choice (selected below).
Pharmacy Name & NPI*
Pharmacy Address*

Street Address

Street Address Line 2

CityState

Zip Code
Pharmacy Contact Name*

First NameLast Name
Email*
example@example.com
Preferred distributor for A1c Now or CardioChek device/tests*
Note: No contract written with Anda - cost may not match attached price list
If your preferred distributor for these POC tests is not listed above please include your preferred distributor name below.
YesNo, I need to create one
Account Number for distributor of choice selected above (if known)
YesNoMaybe
If you have any special information regarding your purchasing please include it below. (I.e. - Bill to/ship to, multiple pharmacies with one bill to and multiple ship to locations, etc.)
Should be Empty: