Limited-Use Health Industry Number (HIN) for Resellers/Distributors
Please Review This Section Before Obtaining Your Limited-Use HIN
This form is exclusively for Resellers/Distributors that wish to obtain and maintain their own HIN only. This form does not authorize you to receive HIN data from any sources, including your customers or trading partners. If you need to obtain HINs for your customers, a Full HIN System License Application and corresponding Data Use License Agreement (DULA) must be obtained. The Full HIN System License Application can be found on our “License the HIN System” page.
Request a Limited-Use HIN using the below form.
Your request will be submitted and subject to HIBCC’s approval.
An email notification will be sent to you once your HIN is assigned, as well as the corresponding Limited-Use HIN Certificate.
In order to obtain your HIN, an initial fee of $2,000 must be paid in full.
Your Limited-Use HIN is renewable at quarterly intervals beginning with the date stated in the certificate issued and subject to the renewal fee of $500 per quarter (Limited-Use Licensee will be notified by HIBCC upon renewal).