Complete the following information to create your myTransactRx portal account and primary Administrator user.
After your account and user is created you will be forwarded to the myTransactRx portal to complete your enrollment.

Select One or More Services

Part D Vaccine Network

Join the TransactRx Medicare Part D Network to bill and be paid for Medicare Part D coverage vaccine.

Customer Type

Enter Account Information

Enter Business/Corporate information. Practice locations will be entered separately.

Account Name

Address

Address2

City

State

Zip Code

Enter Account Administrator Information

Enter the information for the Account Administrator system user and primary contact

First Name

Last Name

Use Account Address

Mail Address

Address2

City

State

Zip Code

Phone Number

Ext

Fax

Enter Administrator User Information

Select a login name and password for the Account Administrator user

User Login

Password

Password must be at least 6 characters, contain at least one lower and upper case letter and must contain at least one number

Reenter Password

When you click Continue Enrollment your account will be created and you will be forwarded to the https://mytransactrx.com portal to complete your enrollment

You can complete your enrollment at any time by logging in to the portal using the login and password you entered above at https://mytransactrx.com

Account Enrollment