SIERA Registration

Cost Transparency: Prescription Drug (CTRx)
System Registration

If you need system access to submit prescription drug pricing data to the California Department of Health Care Access and Information (HCAI), enter the information below and click the Submit button. Please note that in order to register, a drug manufacturer must provide the name and title of an individual who is employed by the manufacturer and who is authorized to receive communications from HCAI.

You will be notified once we have completed a review of your registration request.

Manufacturer Information

Manufacturer:

Street Line 1:

Street Line 2:

Country:

City/State:

Postal Code:

HCAI ID:

User Information

Email:

First/Last Name:

Title:

Street Line 1:

Street Line 2:

Country:

City/State:

Postal Code:

Phone:

= Required Field

The Department of Health Care Access and Informations' Privacy Notice on Collection covers our practices regarding personal information collected when completing applications and forms (online and hardcopy) for our various programs, including the data collected for CTRx manufacturer and user registration.

Cost Transparency: Prescription Drug (CTRx) System Registration

Cost Transparency: Prescription Drug (CTRx)
System Registration