We want to start saving you money on vaccines immediately.
Membership is easy, and no fees or long term commitments are necessary.

Terms & Conditions

As a Participating Member,

  • I understand that there are never any costs to join or be a member of Vaccine Connect.
  • I wish to participate in Vaccine Connect’s rebate program and understand that Vaccine Connect’s rebate policy is available to read on their website,
  • I agree that all products purchased through any Vaccine Connect agreement are for my own use.
  • I understand that Vaccine Connect’s contracted vendors may share my purchasing data with Vaccine Connect. Vaccine Connect will provide written notification of these sales to me no less than annually. I also understand that these vendors may pay Vaccine Connect an administrative service fee for operating and facilitating operations. This fee will never exceed 3% of my net purchases except in the case of Sanofi vaccines where the fee will not exceed 5.75%.
  • I agree to keep all Vaccine Connect pricing confidential.
  • I understand that Vaccine Connect intends to comply with all applicable state and Federal laws. As a group purchasing organization, Vaccine Connect is subject to applicable provisions of the Federal “Safe Harbor” regulations. It is my responsibility and intent to comply with all applicable state and Federal laws including the Medicare and Medicaid anti-kickback statute and Federal “Safe Harbor” regulations.
  • I acknowledge that this agreement shall remain in effect unless terminated by either party. Either party may terminate this agreement by providing written notice to the other party.

Practice or Pharmacy Information

As a Participating Member, by submitting this form, I certify that all of the information on this form is true and acknowledge that I have read and accept the terms and conditions set forth.

Strength indicator

Hint: The password should be at least twelve characters long. To make it stronger, use upper and lower case letters, numbers, and symbols like ! " ? $ % ^ & ).

Address & Contact Information

Address & Contact Information

Mailing Address (if different)

We mail out rebate checks and occasional correspondance. If your mailing address differs from your practice address, please enter it below.