Become a Member

There are two ways to join CCPA Purchasing Partners, LLC (CCPAPP):

1. Online Application

Join Online Now

2. If you'd like to download the forms directly to your computer and email/fax back to us, follow these steps:

Join CCPAPP by downloading our application checklist and completing the appropriate forms:

Link to our vaccine contracts with Merck, Sanofi, Pfizer, AstraZeneca, and/or Seqirus

If applicable, complete the Premier ProviderSelect: MD Application

Please email all completed forms to [email protected] or fax them to 888-276-2344

For any questions regarding the application process, please contact Paresh Patel, Director of Operations, at
312-227-7436 or via email at [email protected].