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Joining MPPG is absolutely free!

Join today using the online form below.

For more information, please read the Participation Agreement by scrolling down to the bottom of this page.
[Your information will be securely sent.]

Asterisks denote required information.

(If you prefer, you can download the pdf form, fill it out and fax it to 818-332-7058.)

Practice Name:*
Doctor Name(s):
Doctor 1:*
Doctor 2:
Doctor 3:
Doctor 4:
Doctor 5:
Doctor 6:
Specialty:*
Tax ID Number:*
Authorized Business Contact:*
Street:*
City:*
State:*
Zip Code:*
Phone:*
Fax:*
Email:*
Please link my practice to loyalty discounts with:
Sanofi-Pasteur Vaccines. My account number is:
Merck Vaccines. My account number is:
Pfizer Vaccines. My account number is:
Henry Schein Medical supplies. My account number is:
McKesson Medical supplies. My account number is:
VaxServe Medical supplies. My account number is:
Merck/Sanofi Pasteur (MSP) Vaxelis. My account number is:
Please have the following vendors contact me to see if they can save my practice money:
AstraZeneca/Flumist (Vaccines):
- check here
The Cooperative of American Physicians, Inc. [CAP] (Medical Liability - CA only):
- check here
ClearGate (Credit Card Processing):
- check here
Solution Reach (Patient Communications):
- check here
Hollister-Stier Laboratories (Allergy and Immunotherapy Supplies):
- check here
Stallergene Greer (Allergy and Immunotherapy Supplies):
- check here
Circassia/Niox Vero (Niox testing for asthma):
- check here
Insperity (HR Services):
- check here
Max Your Media (Digital Media)
- check here
Class Action Capital (Class Action Claims and Recovery)
- check here
Med Waste Systems (Medical Waste - CA only):
- check here
MedPro Disposal (Medical Waste):
- check here
Lab IQ (Physician Office Laboratory):
- check here
AT&T Cellular (Wireless Services):
- check here
Staples Advantage (Office Supplies):
- check here
Farmer's Insurance (Business & Personal):
- check here
ProficientRx (In-Office Dispensing):
- check here
Jackson & Coker (Physician Recruitment):
- check here
TransactRx (Medicare Processing):
- check here
TAB/Document Imaging Technologies (Record Storage and Disposal)
- check here
MediQuest (Medical Employment Staffing)
- check here
NFP (Healthcare Industry Insurance Services):
- check here
QVH Systems (Revenue Enhancement):
- check here
Medicus Results (Practice Management Billing):
- check here
Clarus (Call Management)
- check here
GoCheck Kids (Ocular Photo Screening)
- check here
NexHealth (Patient Management Platform)
- check here
Merchant Cost Consulting (Merchant Services Fees)
- check here
IFI (Medical Supplies)
- check here
Primex Clinical Laboratories (Diagnostic Testing Services)
- check here
Merck/Sanofi Pasteur (MSP) Vaxelis:
- check here
Name of Authorized Doctor:*
DEA Number:*
MPPG Participation Agreement Terms

This MPPG Participation Agreement (the “Agreement”) is entered into by the (“Member”) and MPPG on the date of online submission of Member’s authorized representative.
MPPG Member Agreement
1. What MPPG Does:
MPPG enters into agreements with vendors to provide discounted products and services to medical practices. Vendors offer these discounts because they anticipate brand loyalty and a higher volume of sales. By signing this Agreement, you become a member of MPPG and authorize it to negotiate discounted prices on your behalf.
2. How It Works:
Member will purchase products & services directly from vendors subject to terms and conditions offered by vendors. While MPPG negotiates favorable pricing, it is not responsible for the vendor's or member's obligations under these separate transactions.
3. Member Agreements:
Member agrees to use the products and services purchased for its own use and not resell them. Member will permit its wholesalers and distributors to report purchasing data to vendors, and will permit vendors reasonable access to provide information or service materials. Member shall keep the terms of this Agreement and any pricing received confidential.
4. Vaccines:
Member agrees to use the full portfolio of vaccine-related pharmaceutical products covered under the MPPG contracts in the volume and ratios contemplated by the recommended immunization schedules. All vaccine-purchasing contracts previously entered into will be discontinued by member.
5. Fees:
Member pays no fee to MPPG. MPPG is compensated for its services by vendors based on vendor sales. With respect to purchases governed by 42 U.S.C. 1320a-7b(b) and 42 C.F.R. § 1001.952(j), such compensation will not exceed 4.5%, and the amount of such compensation with respect to purchases made by Member will be reported to Member annually.
6. Compliance:
Member shall comply with applicable laws and regulations, including 42 U.S.C. § 1320a-7b(b)(3)(A) and the discount "safe harbor" regulation set forth at 42 C.F.R. § 1001.952(h). Any discounts provided, including any portion of administration fees
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