Select WENO Online Membership Type:

Select Service Type

Service type is required
A non-DEA registrant should be the 1st administrator user of your account because the DEA will not allow DEA registrants to give themselves permission for an EPCS role.
Please reach out to Weno at admin@wenoexchange.com. We will help you onboard.

Business Name

Business name is required

Address Line 1

Address is required

Address Line 2 (optional)

Country

City

City is required

State

State is required

Postal or zip code

Zip is required Zipcode should be 5 or 9 character

FAX

Fax is required Fax can not be less than 10 digits

Phone (Do not add ISD code)

Phone is required
NCPDP value can not be duplicate
The address entered appears to be incorrect/ incomplete. Please select one:
Use USPS Verified
Use as Entered

Admin User FIRST NAME

Admin first name is required

Admin User LAST NAME

Admin last name is required

Country

Mobile Phone (Don't add ISD code)

Mobile phone is required

Suffix/Credentials *

NOTE: all ePrescribing roles must be set up after account registration is successful. Do this in the Manage User page of your account.

Admin Username (email)

User name is required

Admin Confirm Username (email)

Confirm user name is required

Password Requirements

  • Password must contain a minimum of eight characters

  • One or more upper and lower case letters

  • One or more numbers

  • One or more special characters - !@@#$%^&*?

Admin User Password

Password is required

Admin User Confirm Password

Confirm password is required

Name exactly as it appears on bank

Account name is required

Card Type

Card Number (no spaces)

Card number is required

Card Expiration (MM/YY)

Billing Address Line 1

Billing Address is required

Billing Address Line 2 (optional)

Billing Country

Billing State

Billing State is required

Billing City

Billing City is required

Billing postal or zip code

Billing Zip is required