What is the Health Commerce System (HCS)?

The Health Commerce System is a secure online communications system operated by the NYS Department of Health.  It supports the exchange of routine and emergency statewide health information by local health departments and health facilities, providers and practitioners.  Through this system, practitioners now order official prescription pads, subscribe to public health alerts through the Health Alert Network, and access registries along with other health information exchange applications that focus on preparedness, planning, communications, response and recovery. 

To access the Health Commerce System, please visit:  https://commerce.health.state.ny.us    If you already have a HCS account, check to make sure your password is up to date

Obtaining a Health Commerce System Account


 Obtaining a HCS Account for LICENSED Medical Professionals

 Obtaining a HCS Account for UNLICENSED Medical Professionals

  • Paperless Process
  • Does not require signature and a notary
  • Have NYS DMV Driver License or
    NYS DMV Non-driver Photo ID ready*.
  • You can apply here
  • Need help? Quick Reference sheet
  • If you do not know your HCS Coordinator, please call
    Commerce Accounts Management Unit (CAMU)
    at 1-866-529-1890 option1 (M-F 8am-4:45pm)
  • Paperless Process
  • Two step process that requires NYS DMV Driver License or
    NYS DMV Non-driver Photo ID*
  • It is recommended to review the reference guide before applying
  • Please see your HCS Coordinator to apply
  • If you do not know your HCS Coordinator, please call
    Commerce Accounts Management Unit (CAMU)
    at 1-866-529-1890 option1 (M-F 8am-4:45pm)

*If no valid Photo ID is available, licensed medical professionals can still apply by using the existing process, which requires a signature and a notary

For Unlicensed Professionals:

  1. Register for a Health Commerce System account through the New York State Department of Health
  2. Enroll your account on the HCS. This step must be done with the HCS Coordinator

Refer to this quick reference guide for assistance
Users can refer to Step A
Coordinators can refer to Step B

Are You Having Trouble Logging Into the Health Commerce System for Use in I-STOP, E-Prescribing or Ordering Prescription Forms?

Due to application and data security requirements, HCS support for unsecured Internet browsers and operating systems will be discontinued. Specifically, this change will target older versions of Internet Explorer (versions 6, 7, 8 and 9) and the Windows XP operating system.  Windows XP reached its end-of-life on April 8, 2014 and has not received security updates for over 19 months and is therefore considered unsecure. Microsoft has announced that "beginning January 12, 2016, only the most current version of Internet Explorer available for a supported operating system will receive technical support and security updates" (https://support.microsoft.com/en-us/gp/microsoft-internet-explorer). Older versions of Internet Explorer will rapidly become unsecure and the transmission or exchange of data through these browsers and Windows XP is at risk.

To upgrade your operating system please visit http://www.microsoft.com to determine if your computer is compatible with the latest Windows operating system and if you qualify for a free upgrade or will have to purchase a license. Please note that Windows 10 users will still need to install Microsoft Internet Explorer 11 or Google Chrome as most of HCS applications do not yet support the Microsoft Edge browser.

On the Windows platform, the HCS currently supports Microsoft Internet Explorer and Google Chrome, and offers partial support for Mozilla Firefox. Download the latest version of these browsers from the following links:

ROPES: Registration for Official Prescriptions and E-Prescribing Systems

The online registration process for registering certified Electronic Prescribing of Controlled Substance (EPCS) software application(s) with the Department of Health, Bureau of Narcotic Enforcement (BNE) is known as ROPES: Registration for Official Prescriptions and E-Prescribing Systems.

ROPES allows the practitioners to renew their registration for the Official Prescription Program (OPP) and register their certified electronic prescribing software application(s) for controlled substances. Practitioners that do no issue prescriptions for controlled substances do not have to obtain certified EPCS software and, therefore, do not have to register their E-prescribing software for non-controlled substances with BNE.

The practitioner’s certified EPCS software application(s) must be registered with BNE after the practitioner has completed ALL three of the following:

  1. Implementation of the certified EPCS software application(s) into production;
  2. Identity proofing; and
  3. Receipt of the two-factor authentication credentials

Should you have any questions regarding numbers 2 and 3 above, please consult your e-prescribing software vendor or review the DEA Interim Final Rule section 1311.100 at http://www.deadiversion.usdoj.gov. Once all three of these steps are completed, the practitioner should complete the EPCS registration using ROPES.

How to access ROPES and register for OPP and EPCS:

  1. Login to the Health Commerce System at https://commerce.health.state.ny.us/public/hcs_login.html
  2. Select “My Content” at the top of the page
  3. Scroll down and select “All Applications”
  4. Scroll over and select “R”
  5. Scroll down and select ROPES
  6. Follow screen prompts to renew your OPP registration – confirm address information is correct
  7. Click button “Register EPCS System”
  8. Enter certified EPCS software information or select software from the dropdown menu
  9. Click “Yes” if you agree with the EPCS Attestation

Additional information regarding EPCS may be found at the following link: http://www.health.ny.gov/professionals/narcotic/electronic_prescribing/

Should you have any questions about ROPES, please contact BNE by email at narcotic@health.ny.gov or by phone at 866-811-7957, Option 1.

In addition, the New York State Department of Health has an FAQ that covers a variety of questions pertaining to EPCS and ROPES that can be accessed here.


The New York State Department of Health Has Issued the Following Statement:

“The updated Prescription Monitoring Program Registry is operational and has been available on-line since June 12, 2013. All users must access the PMP Registry through the Department of Health's secure Health Commerce System ("HCS"). With the upcoming effective date of the I-STOP law requiring the use of the PMP Registry, a large late surge of practitioners are now submitting requests for HCS accounts. Although the Department of Health is working diligently to process all requests, this significant influx has resulted in a delay in processing accounts.

During this transition period, practitioners who are making a good faith effort to apply but are unable to establish HCS accounts, should continue to provide treatment to their patients in the same manner as they currently do, including the prescribing of controlled substances without accessing PMP Registry. We expect this transition period to last through October.”

The statement can be accessed by visiting: http://www.health.ny.gov/professionals/narcotic/prescription_monitoring

Last Updated 11.21.18


The I-STOP Act/ E-Prescribing


What is the I-STOP Act?

The Prescription Monitoring Program (PMP)

The Health Commerce System

Opioid Prescribing

Other E-Prescribing Resources

Practice Management


Contact Us

PO Box 38237 | Albany, NY 12203

Connect With Us

2021 New York Chapter of the American College of Physicians All Rights Reserved.