Register Organization

Complete the fields below to register your organization.

The information you provide will be used by CareMetx, LLC, our affiliates, and our service providers, for your registration and participation in this program. Our Privacy Policy further governs the use of the information you provide. By providing the information and selecting the Register Next button, you indicate that you read, understand, and agree to these terms.

Organization Information

Organization NPI *

Organization Name *

Address 1 *

Address 2

City *

State *

Zip *

Phone Number *

Fax Number

Administrator Information

User Type *

Prescriber

Practice Coordinator

NPI Number *

First Name *

Last Name *

Email Address *

Confirm Email Address *

User Name *

Password *

Confirm Password *

"I acknowledge that I have read, understood, and am bound by the terms and use for this website. I understand that the Actelion Pathways is not functioning as my business associate and have taken that fact into consideration in determining what patient "authorization is necessary"

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