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
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.
Mupirocin 5%/Tobramycin 5%/Itraconazole 2% Topical Gel
Impetigo, Folliculitis, Cellulitis, Erysipelas, Tinea Versicolor
Mupirocin 5%/Vancomycin 5% Topical Gel
Impetigo, Folliculitis, Cellulitis, Erysipelas, Furunculosis
Naltrexone HCL 3 mg/ml Transdermal Gel
Chronic Pain, Inflammatory Skin Conditions, Pruritus, Diabetic Neuropathy, Complex Regional Pain Syndrome
Naltrexone HCl 0.5% Topical Gel
Alcoholism, Opioid Addiction, Substance Abuse, Smoking Cessation, Gambling Addiction
Naltrexone HCl 0.5%/Azelastine HCl 0.1% Topical Gel
Allergic Rhinitis, Atopic Dermatitis, Pruritus, Urticaria, Contact Dermatitis
Naltrexone HCl 0.5%/Ketotifen 0.05%/Tacrolimus 0.03% Topical/Vaginal
Vulvovaginal Candidiasis, Lichen Sclerosus, Lichen Planus, Atopic Dermatitis, Psoriasis.
Naltrexone HCl 0.5%/Ketotifen 0.05% Topical Gel
Atopic Dermatitis, Allergic Rhinitis, Urticaria, Pruritus, Contact Dermatitis
Naltrexone HCl 0.5%/Tacrolimus 0.1% Topical Gel
Atopic Dermatitis, Psoriasis, Vitiligo, Lichen Planus, Alopecia Areata
Naltrexone HCl 1% Topical Gel
Alcoholism, Opioid Addiction, Substance Abuse, Gambling Addiction, Nicotine Addiction
Naltrexone HCl 1%/Azelastine HCl 0.15% Topical Gel
Atopic Dermatitis, Allergic Rhinitis, Pruritus, Psoriasis, Urticaria
Naltrexone HCl 1%/Ketotifen 0.05% Topical Gel
Atopic Dermatitis, Allergic Rhinitis, Urticaria, Pruritus, Eczema
Naltrexone HCl 1%/Pramoxine HCl 1% Topical Gel
Pruritus, Lichen Sclerosus, Lichen Planus, Psoriasis, Atopic Dermatitis
Naltrexone HCl 100 mg/ml Topical Gel
Alcoholism, Opioid Dependence, Substance Abuse, Smoking Cessation, Gambling Addiction
Naproxen 10% Topical Gel
Osteoarthritis, Rheumatoid Arthritis, Tendinitis, Bursitis, Gout
Naproxen 15% Topical Gel
Osteoarthritis, Rheumatoid Arthritis, Tendinitis, Bursitis, Gout
Naproxen 20% Topical Gel
Osteoarthritis, Rheumatoid Arthritis, Tendonitis, Bursitis, Muscle Pain
Naproxen 5% Topical Gel
Osteoarthritis, Rheumatoid Arthritis, Tendinitis, Bursitis, Gout
Naproxen Sodium 10% Transdermal Gel
Osteoarthritis, Rheumatoid Arthritis, Tendonitis, Bursitis, Muscle Pain
Neomycin Sulfate 0.05% Topical Gel
Bacterial Skin Infections, Minor Cuts, Abrasions, Wounds, Superficial Skin Infections
Niacinamide 2%/Tretinoin 0.1% Topical Gel
Acne Vulgaris, Photoaging, Hyperpigmentation, Actinic Keratosis, Rosacea
Niacinamide 4% Topical Gel
Rosacea, Acne, Hyperpigmentation, Melasma, Eczema
Niacinamide 4%/Biotin 0.1%/Lipoic Acid 0.5% Topical Gel
Alopecia Areata, Acne, Rosacea, Hyperpigmentation, Psoriasis
Niacinamide 4%/Clindamycin 1%/Tretinoin 0.025% Topical Gel
Acne Vulgaris, Rosacea, Melasma, Hyperpigmentation, Seborrheic Dermatitis
Niacinamide 4%/Ivermectin 1%/Metronidazole 0.75% Topical Gel
Rosacea, Acne, Seborrheic Dermatitis, Perioral Dermatitis, Folliculitis.
Niacinamide 4%/Salicylic Acid 3%/Terbinafine HCl 1% Topical Gel
Seborrheic Dermatitis, Acne, Tinea Versicolor, Folliculitis, Rosacea
Niacinamide 4%/Tretinoin 0.05%/Glycolic Acid 2.5% Topical Gel
Acne, Melasma, Hyperpigmentation, Rosacea, Photodamage.
Niacinamide 5%/Biotin 0.1%/Potassium Azeloyl Diglycinate 6% Topical Gel
Acne, Rosacea, Seborrheic Dermatitis, Hyperpigmentation, Melasma
Nifedipine 10 mg/ml Topical Gel
Hypertension, Raynaud's Syndrome, Angina, Peripheral Vascular Disease, Coronary Artery Disease
Nifedipine 160 mg/ml Topical Gel
Hypertension, Raynaud's Syndrome, Angina, Peripheral Vascular Disease, Intermittent Claudication
Nifedipine 40 mg/ml Topical Gel
Hypertension, Raynaud's Syndrome, Angina, Peripheral Vascular Disease, Intermittent Claudication
Nifedipine 8% Transdermal Gel
Anal Fissures, Raynaud's Syndrome, Chilblains (Pernio), Peripheral Vascular Disease, Hypertension
Nifedipine 80 mg/ml Topical Gel
Hypertension, Raynaud's Syndrome, Angina, Peripheral Vascular Disease, Intermittent Claudication
Nystatin 100,000 Units/Gm Topical Gel
Candidiasis, Oral Thrush, Cutaneous Candidiasis, Intertrigo, Vulvovaginal Candidiasis
Nystatin 20000 Units/g Sucralfate 200 mg/g Topical Gel
Oral Thrush, Mucositis, Esophagitis, Radiation Dermatitis, Pressure Ulcers
Nystatin 500,000 Units/ml Topical Gel (Vet)
Dermatophytosis, Interdigital Cysts, Pododermatitis, Pyoderma, Otitis Externa
Ondansetron 20 mg/ml Topical Gel
Nausea, Vomiting, Gastroesophageal Reflux Disease, Motion Sickness, Chemotherapy-Induced Nausea and Vomiting
Ondansetron Hydrochloride 8 mg/mL Topical Gel
Nausea And Vomiting, Chemotherapy-Induced Nausea, Radiation-Induced Nausea, Postoperative Nausea, Migraine-Associated Nausea
Orphenadrine Citrate 10% Topical Gel
Fibromyalgia, Myofascial Pain Syndrome, Osteoarthritis, Neuropathic Pain, Rheumatoid Arthritis
Orphenadrine Citrate 5% Topical Gel
Fibromyalgia, Myofascial Pain Syndrome, Osteoarthritis, Neuropathic Pain, Rheumatoid Arthritis
Orphenadrine Citrate 5%/Tetracaine 2%/Tramadol HCl 5% Topical Gel
Musculoskeletal Pain, Neuropathic Pain, Fibromyalgia, Myofascial Pain, Chronic Pain Syndromes
Oxybutynin Chloride 10% Topical Gel
Overactive Bladder, Neurogenic Bladder, Hyperhidrosis, Urinary Incontinence, Detrusor Overactivity
Oxybutynin Chloride 10%/Glycopyrrolate 0.25% Topical Gel
Overactive Bladder, Urge Incontinence, Neurogenic Detrusor Overactivity, Nocturnal Enuresis, Fecal Incontinence
Oxybutynin Chloride 8% Topical Gel
Overactive Bladder, Urge Incontinence, Nocturnal Enuresis, Neurogenic Detrusor Overactivity, Interstitial Cystitis
Oxycodone Hydrochloride 10 mg/mL Topical Gel
Chronic Pain, Neuropathic Pain, Arthritis, Post-Surgical Pain, Cancer Pain
Oxymetazoline HCl 0.06% Topical Gel
Rhinitis, Allergic Conjunctivitis, Nasal Congestion, Sinusitis, Rhinorrhea
Oxymetazoline HCl 1 mg/0.2 ml Topical Gel
Rhinitis, Allergic Rhinitis, Nasal Congestion, Sinusitis, Rhinorrhea
Oxymetazoline HCl 1%/Ketotifen 0.05%/Tea Tree Oil 5% Topical Gel
Allergic Rhinitis, Atopic Dermatitis, Eczema, Psoriasis, Acne.
Papaverine 15% Topical Gel
Erectile Dysfunction, Peyronie's Disease, Priapism, Raynaud's Syndrome, Vascular Insufficiency
Papaverine 20% Topical Gel
Erectile Dysfunction, Peyronie's Disease, Priapism, Raynaud's Syndrome, Vascular Insufficiency
Pentosan Polysulfate Sodium 15 mg/Gm Topical Gel
Interstitial Cystitis, Osteoarthritis, Urethral Syndrome, Hemorrhoids, Lichen Sclerosus.
Pentoxifylline 0.3%/Caffeine 1%/Egcg 1% Topical Gel
Cellulitis, Varicose Veins, Lymphedema, Venous Stasis Ulcers, Chronic Venous Insufficiency.
Pentoxifylline 0.5% Topical Gel
Raynaud's Syndrome, Venous Stasis Ulcers, Lymphedema, Chronic Venous Insufficiency, Intermittent Claudication
Pentoxifylline 1% Topical Gel
Raynaud's Syndrome, Intermittent Claudication, Venous Insufficiency, Lymphedema, Peripheral Neuropathy
Pentoxifylline 1%/Ketotifen 0.05%/Caffeine 1% Topical Gel
Eczema, Psoriasis, Atopic Dermatitis, Rosacea, Acne
Pentoxifylline 10% Topical Gel
Raynaud's Syndrome, Intermittent Claudication, Venous Insufficiency, Lymphedema, Peripheral Neuropathy
Pentoxifylline 15% Topical Gel
Raynaud's Syndrome, Intermittent Claudication, Venous Insufficiency, Lymphedema, Peripheral Neuropathy
Pentoxifylline 2%/Ketotifen 0.05% Topical Gel (Vet)
Atopic Dermatitis, Allergic Skin Disease, Pruritus, Pyoderma, Otitis Externa
Pentoxifylline 2%/Naltrexone HCl 0.2%/Aloe Vera Topical/Vaginal
Vulvodynia, Lichen Sclerosus, Lichen Planus, Genital Psoriasis, Genital Herpes
Pentoxifylline 20 mg/Verapamil HCl 100 mg/g Topical Gel
Peyronie's Disease, Chronic Venous Insufficiency, Peripheral Artery Disease, Diabetic Neuropathy, Raynaud's Phenomenon
Pentoxifylline 3%/Phenytoin 2%/Misoprostol 0.0024%/Aloe Vera Topical Gel
Raynaud's Syndrome, Interstitial Cystitis, Diabetic Neuropathy, Scleroderma, Rheumatoid Arthritis
Pentoxifylline 5% To 15% Topical Gel
Raynaud's Syndrome, Venous Stasis Ulcers, Lymphedema, Chronic Venous Insufficiency, Intermittent Claudication
Pentoxifylline 5%/Montelukast 1% Topical Gel
Eczema, Psoriasis, Dermatitis, Acne, Rosacea
Pentoxifylline 5%/Nifedipine 2% Topical Gel
Raynaud's Syndrome, Intermittent Claudication, Peripheral Vascular Disease, Diabetic Neuropathy, Ischemic Ulcers.
Phenobarbital 100 mg/ml Transdermal Gel
Epilepsy, Anxiety Disorders, Sedation, Neonatal Withdrawal, Status Epilepticus
Phenylbutazone 10% Topical Gel
Osteoarthritis, Rheumatoid Arthritis, Gout, Ankylosing Spondylitis, Bursitis
Phenylbutazone 10% Topical Gel (Vet)
Arthritis, Osteoarthritis, Lameness, Inflammation, Tendonitis
Phenylpropanolamine HCl 10%/Pentoxifylline 5% Topical Lipoderm® (Vet)
Atopy, Pruritus, Dermatitis, Alopecia, Pyoderma
Phenytoin 1% To 5% Topical Gel
Epilepsy, Neuropathic Pain, Trigeminal Neuralgia, Postherpetic Neuralgia, Seizure Disorders
Phenytoin 10% Topical Gel
Epilepsy, Seizures, Neuropathic Pain, Trigeminal Neuralgia, Postherpetic Neuralgia
Phenytoin 2%/Aloe Vera 0.2%/Misoprostol 0.0024% Topical Gel
Psoriasis, Eczema, Dermatitis, Acne, Rosacea
Phenytoin 2%/Arginine HCl 1%/Melatonin 1%/Naltrexone HCl 1%/Aloe Vera Topical Gel
Eczema, Psoriasis, Acne, Dermatitis, Rosacea
Phenytoin 2%/Arginine HCl 1%/Naltrexone HCl 0.5%/Timolol 0.5% Topical Gel
Epilepsy, Glaucoma, Multiple Sclerosis, Parkinson's Disease, Neuropathic Pain
Phenytoin 2%/Arginine HCl 1%/Naltrexone HCl 1%/Aloe Vera 0.2%/Misoprostol 0.0024% Topical Gel
Psoriasis, Eczema, Dermatitis, Acne, Rosacea
Phenytoin 2%/Arginine HCl 1%/Naltrexone HCl 1%/Misoprostol 0.0024%/Aloe Vera Topical Gel
Psoriasis, Eczema, Acne, Dermatitis, Rosacea
Phenytoin 2%/Tetracaine 1%/Aloe Vera 0.2%/Misoprostol 0.0024% Topical Gel
Burns, Eczema, Psoriasis, Dermatitis, Acne
Phenytoin 5% Topical Gel
Epilepsy, Seizures, Neuropathic Pain, Trigeminal Neuralgia, Postherpetic Neuralgia
Phenytoin 5%/Clindamycin 2%/Arginine HCl 1%/Naltrexone HCl 0.5%/Aloe Vera 0.2%/Nifedipine 0.2% Topical Gel
Acne, Rosacea, Dermatitis, Psoriasis, Eczema
Phenytoin 5%/Gentamicin 0.2%/Misoprostol 0.0024% Topical Gel
Burns, Wounds, Pressure Ulcers, Diabetic Ulcers, Eczema.
Phenytoin 5%/Misoprostol 0.0024%/Nifedipine 2% Topical Gel
Epilepsy, Migraine, Hypertension, Gastroesophageal Reflux Disease, Raynaud's Syndrome
Phenytoin 5%/Misoprostol 0.0024% Topical Gel
Epilepsy, Seizures, Neuropathic Pain, Migraines, Trigeminal Neuralgia
Phenytoin 5%/Misoprostol 0.0024%/Arginine HCl 1% Topical Gel
Psoriasis, Acne, Eczema, Dermatitis, Rosacea
Phenytoin 5%/Naltrexone HCl 1% Topical Gel
Eczema, Psoriasis, Acne, Dermatitis, Rosacea
Phenytoin 5%/Nifedipine 2%/Misoprostol 0.0024% Topical Gel
Hypertension, Raynaud's Syndrome, Angina, Migraine, Cardiac Arrhythmia.
Piroxicam 0.5% Topical Gel
Osteoarthritis, Rheumatoid Arthritis, Tendinitis, Bursitis, Gout
Piroxicam 1% Topical Gel
Osteoarthritis, Rheumatoid Arthritis, Tendinitis, Bursitis, Gout
Piroxicam 2% Topical Gel
Osteoarthritis, Rheumatoid Arthritis, Tendinitis, Bursitis, Gout
Piroxicam 5% Topical Gel
Osteoarthritis, Rheumatoid Arthritis, Tendinitis, Bursitis, Gout.
Podophyllum 10% Topical Gel
GENITAL WARTS, MOLES, SKIN TAGS, ACTINIC KERATOSIS, SEBORRHEIC KERATOSIS
Podophyllum 10%/Benzocaine 4.75% Topical Gel
Genital Warts, Anal Warts, Plantar Warts, Perianal Warts, Condylomata Acuminata
Podophyllum 20% Topical Gel
GENITAL WARTS, MOLES, SKIN TAGS, ACTINIC KERATOSIS, SEBORRHEIC KERATOSIS
Podophyllum 20%/Benzocaine 4.75% Topical Gel
Condyloma Acuminata, Molluscum Contagiosum, Actinic Keratosis, Bowen's Disease, Basal Cell Carcinoma.
Podophyllum Resin 20% Topical Gel
Genital Warts, Plantar Warts, Common Warts, Periungual Warts, Filiform Warts
Polymyxin B 6,320 U/ml/Bacitracin 500 U/ml Topical Gel
Impetigo, Cellulitis, Folliculitis, Erysipelas, Furunculosis
Potassium Chloride 6%/Potassium Citrate 6%/Potassium Nitrate 6% Topical Gel
Hyperhidrosis, Hyperkalemia, Hypokalemia, Hypernatremia, Hyponatremia
Potassium Nitrate 10% Topical Gel
Tooth Sensitivity, Gingivitis, Periodontitis, Oral Mucositis, Aphthous Ulcers
Povidone Iodine 10% Topical Gel
Wound Infections, Skin Infections, Minor Burns, Ulcers, Pressure Sores
Povidone-Iodine 2%/DMSO 20% Topical Gel
Wound Infections, Diabetic Foot Ulcers, Fungal Infections, Pressure Sores, Cutaneous Leishmaniasis
Povidone-Iodine 2%/DMSO Topical Gel
Folliculitis, Impetigo, Cellulitis, Boils, Carbuncle
Povidone-Iodine 5% Topical Gel
Impetigo, Folliculitis, Cellulitis, Boils, Carbuncle
Pramoxine HCl 1%/Hydrocortisone 1% Topical Gel (Vet)
Atopic Dermatitis, Pyoderma, Pruritus, Interdigital Cysts, Acral Lick Granuloma
Previous
Next
12 / 14
Optimized for desktop use.
Please view on a larger screen.