Merck eContracts Online Registration Form

Instructions & Acknowledgements

By completing this form, user acknowledges that access to eContracts information is highly sensitive. Passwords cannot be shared. Every user must have their own sign on information. Once access is approved, user will be notified directly from Merck CCM Security.

External Users (GPO, Wholesaler, etc.)

Please note, you (the organization that you represent) must be a Health Industry Number (HIN) Authorized Licensee to access eContracts.

By submitting this form, you represent and warrant that you (the organization that you represent) are a HIN Authorized Licensee. If that status changes, you must inform Merck immediately and Merck reserves the right to revoke your access to eContracts.

If you (the organization that you represent) are not a HIN Authorized Licensee and would like more information, please contact the Health Industry Business Communications Council (HIBCC) directly (www.hibcc.org)

Merck Internal Users

Manager’s approval is required to obtain access. Please ensure to attach manager’s approval to the online registration form prior to submitting.

Access will not be granted without manager’s approval.

CCM/CCS Users

Manager’s approval is required to obtain access. Please ensure to attach manager’s approval to the online registration form prior to submitting.

Access will not be granted without manager’s approval.

Once the online registration form has been submitted, please ensure to submit a Security Request to complete the requirements for processing.