To register your pharmacy for Toniq Guard Electronic Controlled Drug Register, please complete the form below. Once we receive your registration, we will prepare a contract for you to sign and return to us. We will then confirm timing for onboarding your pharmacy to use Toniq Guard.
Organisation name
First name
Last name
Business email
20% discount rates per month: LITE $23 , CORE $79 , MAX $119
—Please choose an option—20% Discounted rate - 3 year termStandard pricing - monthly term
*As part of the onboarding process for Toniq Guard, we ask customers to agree to updated Toniq terms and conditions. You can choose either a 3-year contract term or a month-to-month contract. If you select the 3-year contract term, you will receive a 20% discount on Toniq Guard for the duration of the contract.
Please enter pharmacy manager details if different from above. This will be the pharmacy user responsible for onboarding and managing Toniq Guard:
Email Address
Registration number (if Pharmacist)