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MirixaPro

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The MirixaPro Platform is to be accessed only by authorized users for purposes described in the contract between Pharmacy(ies) and Mirixa Corporation. Attempts to access this system are logged. Use of this system constitutes consent to monitoring for security and other compliance purposes.

  • The Mirixa Consultant Connection program is designed to match interested pharmacies with local pharmacists with clinical expertise, who can assist in delivering patient care services.

    Thank you for your pharmacy's interest in joining forces with a local pharmacist to assist in delivering patient care services. Please complete the information below so that Mirixa can assist in making a match for your pharmacy.
  • Pharmacy Point of Contact (Pharmacist in Charge or Owner)*
  • Address*
  • - -
  • - -
  • Area of Pharmacy:
  • How did you hear about the Mirixa Consultant Connection program?

    Check all that apply

  • Indicate level of assistance needed
    Consultant Pharmacist to complete full patient care service (scheduling of patient session to be determined between pharmacy and consultant pharmacist)
    Consultant pharmacist to complete case review/preparation; store pharmacist will provide service to the patient (Documentation, Intervention, Follow-up, Authorization, and Submission for billing to be determined between pharmacy and consultant pharmacist)
  • Please Note:

    There is no guarantee that completing the form will result in a match. Details of the consultant pharmacist's engagement by the pharmacy, including payment terms, are solely between the pharmacy and the consultant pharmacist.
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