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New Customer Portal Account Request (CCP)

Please provide the following information so we can create your account

Confirmation

I confirm that I am not currently registered in the CCP portal.
If you would like to register an additional customer account, please contact us.

First Name*

Last Name*

Email*

Customer Number*

Invoice Number*

Email

This field is for validation purposes and should be left unchanged.

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If you need assistance, please contact customer service by email or phone. Before prescribing, please consult the full prescribing information. Copyright © 2025 Merck Sharp & Dohme Corp., a subsidiary of Merck & Co., Inc., Rahway, NJ, USA. All rights reserved. Total or partial reproduction is prohibited.