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How to register a tobacco free pharmacy …

Our database already consists of over 900 independent and chain pharmacies in California that don’t sell tobacco — but we know there are many more throughout the state that should be included on this list. If you are a pharmacy owner, pharmacists or consumer who wishes to register a tobacco free pharmacy - it’s easy. Simply open the PDF below, print it, fill it out and fax it back to us.

It’s that simple!

  • Once we receive your registration form, you’ll receive:
  • A static window decal for your pharmacy door/window that states you are "Proud to be Tobacco Free"
  • 100 free prescription bags that say you are "Proud to be Tobacco Free" that can be stamped with your pharmacy's name and address
  • Inclusion in our statewide database that lists all registered tobacco free pharmacies in California which is accessed by physicians, health care advocates and consumers throughout the state.
  • Periodic mailings with resources, announcements and newsletters with coupons for free materials.

Why Wait? Sign up Now!

Pharmacy Registration Form (PDF)

In PDF format—requires Acrobat Reader.