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Pedigree Reporting System
Pedigree RX

To obtain Pedigree Information for purchased pharmaceuticals, please fill out the form and click submit.

Fields marked with * are mandatory.

* Customer Number: 
* Invoice Number:  (must include all characters, i.e. 123456-7-8)
* Item Number:  (full item number found on the invoice, beginning with RX)
NDC#:  (full NDC from the package)
* Lot#:  (full lot number from the package)
Email Address: 
Fax Number: 
I prefer to receive this Pedigree via: 
 
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First Name
Last Name
Email

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