Illinois RxSubmit Application

Your Illinois RxSubmit email address

Your password recovery code

New password
Confirm new password
Password must meet the following requirements:
  •   Minimum of 8 characters
  •   Contain one upper case letter
  •   Contain one lower case letter
  •   Contain at least one number
  •   Contain one special character (! @ # $ etc.)
  •   Maximum of 72 characters

Your security questions