Home
Prescribe
Your Order Form
Compound Catalog
Popular Order Forms
Staff
Compound Catalog
Order Form w/ Formulas
Custom Order Form
Popular Order Forms
Send Order Forms
Documents
Hospice
Peptides
Assessments
Prescribers
Tutorials
Settings
My Account
Support
Log Out
1
Search for medications or formulations to prescribe.
2
Click
Order Medication
and fill out order form.
3
Print and fax it to the pharmacy at 401-284-4506.
Need help?
Visit the Tutorials tab to learn more.
First
Last
My Account
Clear
Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Tirzepatide
This is example text.
Semaglutide
This is example text.
Testosterone
This is example text.
Phentolamine
This is example text.
Papaverine
This is example text.
Ivermectin
This is example text.
Ketamine
This is example text.
Diazepam
This is example text.
Gabapentin
This is example text.
Amitriptyline
This is example text.
Metformin
This is example text.
Theophylline
This is example text.
Arginine
This is example text.
Spironolactone
This is example text.
Clobetasol Propionate
This is example text.
Ketotifen
This is example text.
Hydrocortisone
This is example text.
Acyclovir
This is example text.
Chlorhexidine Gluconate
This is example text.
Nystatin
This is example text.
Boric Acid
This is example text.
Tri-Est
This is example text.
Bi-Est
This is example text.
Dehydroepiandrosterone
This is example text.
Progesterone
This is example text.
Estriol
This is example text.
Estradiol
This is example text.
Tetracaine
This is example text.
Lidocaine
This is example text.
Benzocaine
This is example text.
Sodium Hyaluronate
This is example text.
Niacinamide
This is example text.
Tranexamic Acid
This is example text.
Kojic Acid
This is example text.
Hydroquinone
This is example text.
Metronidazole
This is example text.
Miconazole
This is example text.
Betamethasone
This is example text.
Mupirocin
This is example text.
Sodium Butynate
This is example text.
Sodium Acetate
This is example text.
Naltrexone
This is example text.
Mesalamine
This is example text.
Budesonide
This is example text.
Sucralfate
This is example text.
Baclofen
This is example text.
Tacrolimus
This is example text.
Nitroglycerin
This is example text.
Nifedipine
This is example text.
Diltiazem
This is example text.
Atropine Sulfate
This is example text.
Cyclosporin
This is example text.
Acetylcysteine
This is example text.
Voriconazole
This is example text.
Amphotericin
This is example text.
Ceftriaxone
This is example text.
Ceftazidime
This is example text.
Quad-Mix
This is example text.
Tri-Mix
This is example text.
Alprostadil
This is example text.
Atropine Tri-Mix
This is example text.
Bi-Mix
This is example text.
Vardenafil
This is example text.
Sildenafil RDT
This is example text.
Sildenafil
This is example text.
Tadalafil RDT
This is example text.
Tadalafil
This is example text.
Scopolamine Hydrobromide
This is example text.
Glycopyrrolate
This is example text.
Gentamicin
This is example text.
Vancomycin
This is example text.
Tobramycin
This is example text.
Atropine
This is example text.
Other
This is example text.
Tretinoin
This is example text.
Azelaic Acid
This is example text.
Finasteride
This is example text.
Minoxidil
This is example text.
Pantoprazole
This is example text.
Omeprazole
This is example text.
Lansoprazole
This is example text.
Esomeprazole
This is example text.
5-Hydroxytryptophan 100 mg/ml Oral Sublingual Drops
Depression, Anxiety, Sleep Disorders, Migraines, Fibromyalgia
Acetaminophen 100 mg/ml Oral Drops
Fever, Headache, Pain, Arthritis, Cold
Amitriptyline HCl 50 mg/ml Sublingual Drops
Depression, Neuropathic Pain, Migraine Prevention, Insomnia, Irritable Bowel Syndrome
Anastrozole 0.1 mg/0.2 ml Sublingual Drops
Breast Cancer, Endometriosis, Uterine Fibroids, Polycystic Ovary Syndrome, Prostate Cancer
Anastrozole 0.25 mg/0.5 ml Sublingual Drops
Breast Cancer, Endometriosis, Uterine Fibroids, Polycystic Ovary Syndrome, Hyperandrogenism
Atropine Sulfate 1% Sublingual Drops
Bradycardia, Saliva Overproduction, Peptic Ulcers, Organophosphate Poisoning, Ileus
Atropine Sulfate 1% Sublingual Oral Drops
Bradycardia, Glaucoma, Myasthenia Gravis, Urinary Retention, Gastroparesis
Benzocaine 0.47% Compound Oral Concentrate
Toothache, Oral Ulcers, Oral Pain, Gingivitis, Oral Infections
Buprenorphine 2 mg/Naltrexone HCl 0.5 mg/ml Oral Sublingual Drops
Opioid Dependence, Alcohol Dependence, Chronic Pain Management, Opioid Overdose Prevention, Weight Management
Buprenorphine 2 mg/ml Sublingual Drops
Opioid Dependence, Chronic Pain, Severe Pain, Postoperative Pain, Cancer Pain
Choline Chloride 50 mg/Cyanocobalamin 0.5 mg/Inositol 50 mg/Methionine 25 mg/0.5 mL Sublingual Drops
Vitamin B12 Deficiency, Liver Disease, High Cholesterol, Homocystinuria, Depression
Citalopram 60 mg/ml Sublingual Drops
Major Depressive Disorder, Generalized Anxiety Disorder, Panic Disorder, Obsessive-Compulsive Disorder, Premenstrual Dysphoric Disorder
Clomiphene Citrate 12.5 mg/0.2 ml Sublingual Drops
Infertility, Polycystic Ovary Syndrome, Hypogonadism, Amenorrhea, Anovulation.
Clomiphene Citrate 12.5 mg/Testosterone 12.5 mg/0.2 ml Sublingual Drops
Infertility, Hypogonadism, Delayed Puberty, Primary Ovarian Insufficiency, Polycystic Ovary Syndrome
Clonazepam 1 mg/ml Sublingual Drops
Epilepsy, Anxiety, Panic Disorder, Insomnia, Bipolar Disorder
Coenzyme Q-10 8 mg/ml/Vitamin E Acetate 6.25 U/ml/Lipoic Acid 20 mg/ml Oral Pediatric Drops
Mitochondrial Disease, Diabetes, Cardiovascular Disease, Neurodegenerative Disease, Age-Related Macular Degeneration
Cyanocobalamin 1000 mcg/mL Oral Sublingual Drops
Vitamin B12 Deficiency, Pernicious Anemia, Cyanide Poisoning, Homocystinuria, Macrocytic Anemia
Dehydroepiandrosterone 10 mg/0.1 mL Oral Sublingual Drops
Adrenal Insufficiency, Menopausal Symptoms, Sexual Dysfunction, Depression, Chronic Fatigue Syndrome
Dehydroepiandrosterone 10 mg/ml Sublingual Drops
Adrenal Insufficiency, Hypogonadism, Menopause, Andropause, Aging.
Dehydroepiandrosterone 5 mg/ml Sublingual Drops
Adrenal Insufficiency, Hypogonadism, Menopause, Andropause, Aging.
Ergocalciferol 8000 U/ml Oral Drops
Vitamin D Deficiency, Rickets, Osteomalacia, Osteoporosis, Hypoparathyroidism
Estradiol 0.2 mg/Estriol 0.8 mg/0.25 mL Sublingual Drops
Menopause Symptoms, Hormone Imbalance, Osteoporosis, Vaginal Atrophy, Hypoestrogenism
Estradiol 0.4 mg/Estriol 1.6 mg/Progesterone 50 mg/Testosterone 5 mg/ml Sublingual Drops
Menopause, Hormone Deficiency, Andropause, Osteoporosis, Libido Disorders
Estriol 0.1 mg/0.5 mL Oral Sublingual Drops
Menopausal Symptoms, Hormone Imbalance, Atrophic Vaginitis, Osteoporosis, Estrogen Deficiency
Fentanyl 50 mcg/mL Sublingual Drops
Chronic Pain, Cancer-Related Pain, Breakthrough Pain, Severe Spinal Pain, Neuropathic Pain
Ferrous Fumarate 45 mg/0.6 ml Oral Drops
Iron Deficiency Anemia, Pernicious Anemia, Megaloblastic Anemia, Sideroblastic Anemia, Thalassemia
Glycopyrrolate 2 mg/ml Oral Drops
Chronic Sialorrhea, Peptic Ulcer Disease, Hyperhidrosis, Anesthesia Adjunct, COPD Exacerbations
Hydromorphone HCl 10 mg/mL Oral Drops
Chronic Pain, Cancer Pain, Postoperative Pain, Severe Pain, Palliative Care
Hyoscyamine Sulfate 0.125 mg/mL/Phenobarbital 15 mg/mL Oral Drops
Irritable Bowel Syndrome, Peptic Ulcer, Spastic Colon, Diverticulitis, Infant Colic
Hyoscyamine Sulfate 0.125 mg/ml Drops (Flavored)
Irritable Bowel Syndrome, Urinary Incontinence, Gastroesophageal Reflux Disease, Peptic Ulcer Disease, Dyspepsia
Methylcobalamin 1/000 mcg/mL Oral Sublingual Drops
Vitamin B12 Deficiency, Pernicious Anemia, Neuropathy, Memory Loss, Fatigue
Naloxone 2 mg/ml/Oxycodone 30 mg/ml Oral Sublingual Drops
Chronic Pain, Cancer-Related Pain, Palliative Care, Severe Acute Pain, Breakthrough Pain
Neomycin 35 mg/ml Oral Drops (Vet)
Ear Infections, Otitis Externa, Skin Infections, Respiratory Infections, Gastrointestinal Infections
Neomycin 35 mg/ml/Methscopolamine Bromide 0.25 mg/ml Oral Drops (Vet)
Otitis Externa, Conjunctivitis, Rhinitis, Gastroenteritis, Urinary Tract Infection
Phenobarbital 15 mg/ml/Hyoscyamine Sulfate 0.125 mg/ml Oral Drops
Epilepsy, Spasticity, Parkinsonism, Gastrointestinal Disorders, Urinary Incontinence
Phenobarbital 24 mg/ml/Homatropine Methylbromide 0.27 mg/ml Oral Drops
Epilepsy, Anxiety, Insomnia, Seizures, Mania
Pilocarpine HCl 2 mg/ml Oral Drops
Glaucoma, Xerostomia, Sjogren's Syndrome, Keratoconjunctivitis Sicca, Ocular Hypertension
Podophyllum 25% In Tincture Of Benzoin
Warts, Actinic Keratosis, Basal Cell Carcinoma, Bowen's Disease, Squamous Cell Carcinoma
Potassium Iodide 10%/Iodine 7% Strong Tincture
Goiter, Hyperthyroidism, Hypothyroidism, Thyroiditis, Thyrotoxicosis.
Pregnenolone 9 mg/0.1 mL Oral Sublingual Drops
Adrenal Insufficiency, Hormone Imbalance, Chronic Fatigue Syndrome, Cognitive Dysfunction, Autoimmune Disorders
Progesterone 2% Sublingual Drops
Infertility, Menopausal Symptoms, Endometriosis, Uterine Fibroids, Polycystic Ovary Syndrome
Sodium Hyaluronate 6 mg/ml Oral Sublingual Drops
Osteoarthritis, Dry Eye Syndrome, Sjogren's Syndrome, Temporomandibular Joint Disorder, Skin Hydration Disorders
Tadalafil 25 mg/ml Oral Sublingual Drops
Erectile Dysfunction, Pulmonary Arterial Hypertension, Benign Prostatic Hyperplasia, Raynaud's Phenomenon, Lower Urinary Tract Symptoms
Testosterone 25 mg/0.2 ml/Anastrozole 0.1 mg/0.5 ml Sublingual Drops
Hypogonadism, Male Infertility, Breast Cancer, Prostate Cancer, Osteoporosis
Thiamine HCl 10 mg/ml/Ascorbic Acid 50 mg/ml Oral Drops
Beriberi, Scurvy, Vitamin B1 Deficiency, Vitamin C Deficiency, Wernicke-Korsakoff Syndrome
Optimized for desktop use.
Please view on a larger screen.