Request for Information – Master Agreement CNR01487

Note: This request for information may be completed only by representatives of E&I member institutions. To determine whether your institution is a member, visit our Member Locator. To join E&I, complete a Membership Application.

We would like to learn more about how our Member institution can take advantage of the great savings with the E&I/Pharmacy Benefits Management Master Agreement CNR01487. I understand that by completing this form our information will be sent to the appropriate E&I and Pharmacy Benefits Management team that supports our institution. We will then be contacted within 3 - 5 business days to outline how best we can benefit from this program.

If you have any questions about this form or the E&I Master Agreement with Pharmacy Benefits Management, please contact your Member Relations Representative or Lindsay Taylor by email at

Institution Information