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.
Betamethasone Valerate 0.12% Scalp Solution
Seborrheic Dermatitis, Psoriasis, Atopic Dermatitis, Lichen Simplex Chronicus, Alopecia Areata
Caffeine 0.005% Scalp Solution
Alopecia, Androgenic Alopecia, Telogen Effluvium, Trichotillomania, Female Pattern Hair Loss
Clotrimazole 1% Scalp Solution
Tinea Capitis, Seborrheic Dermatitis, Pityriasis Versicolor, Scalp Psoriasis, Scalp Candidiasis
Coal Tar Solution 2%/Salicylic Acid 6% Scalp Solution
Psoriasis, Seborrheic Dermatitis, Dandruff, Eczema, Scalp Psoriasis
Coal Tar Topical Solution 2%/Salicylic Acid 2% Scalp Solution
SEBORRHEIC DERMATITIS, PSORIASIS, ECZEMA, DANDRUFF, ACNE
Erythromycin 2%/Hydrocortisone 0.5% Scalp Lotion
Seborrheic Dermatitis, Atopic Dermatitis, Psoriasis, Scalp Eczema, Tinea Capitis
Gabapentin 6%/Amitriptyline HCl 2%/Lidocaine 1% Topical Scalp Solution
Trigeminal Neuralgia, Postherpetic Neuralgia, Neuropathic Pain, Migraine, Tension Headache
Lecithin 5%/Allantoin 1% Hair Tonic
Alopecia, Hair Loss, Dandruff, Seborrheic Dermatitis, Scalp Psoriasis
Minoxidil 5%/Finasteride 0.25%/Vitamin E Acetate 0.1%/Fluocinolone Acetonide 0.01%/Tretinoin 0.01% Scalp Solution
Androgenic Alopecia, Alopecia Areata, Telogen Effluvium, Seborrheic Dermatitis, Lichen Planopilaris
Minoxidil 5%/Melatonin 0.1%/Finasteride 0.1%/Tretinoin 0.05% Scalp Solution
Androgenic Alopecia, Alopecia Areata, Telogen Effluvium, Female Pattern Hair Loss, Male Pattern Baldness
Minoxidil 5%/Progesterone 0.5%/Vitamin E Acetate 10 IU/ml Scalp Solution
Androgenic Alopecia, Female Pattern Hair Loss, Telogen Effluvium, Alopecia Areata, Traction Alopecia
Minoxidil 8.5%/Finasteride 0.1% Scalp Solution
Androgenic Alopecia, Male Pattern Baldness, Female Pattern Baldness, Alopecia Areata, Telogen Effluvium
Naltrexone HCl 1% Scalp Solution
Alopecia Areata, Androgenetic Alopecia, Telogen Effluvium, Traction Alopecia, Lichen Planopilaris
Niacinamide 2%/Minoxidil 1%/Hyaluronic Acid Scalp Solution
Alopecia Areata, Androgenic Alopecia, Telogen Effluvium, Traction Alopecia, Female Pattern Hair Loss
Pseudocatalase Hair Serum
Vitiligo, Alopecia Areata, Melasma, Lichen Planus, Psoriasis
Tacrolimus 0.1% Scalp Solution
Atopic Dermatitis, Psoriasis, Vitiligo, Lichen Planus, Seborrheic Dermatitis
Optimized for desktop use.
Please view on a larger screen.