Please complete the form below and submit (all fields are compulsory), we will validate based on your IAP Membership number. Once successfully submitted an email will be sent to the entered email id with the Mobile app key.

Please note:
1. Only 1 app key will be provided per IAP membership number, if you need additional mobile devices to be connected then you will need to purchase a new app key online.
2. If you have already purchased an app key, you can sign up for a new app key free of cost to add an additional device to use the IAP Drug Formulary mobile app.

Name *:

Field is required.

Mobile *:

Field is required.

IAP Membership Number *:

Field is required.

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eg: L/2013/X-1289

Your Email *:

Field is required.

Confirm Email *:

Field is required. Both the Email Id's should match.

Address *:

Field is required.

State *:

Field is required.

City *:

Field is required.

Pin *:

Field is required.