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.
Gabapentin 10 mg/0.1 ml Topical Gel (Vet)
Arthritis, Dermatitis, Pruritus, Otitis, Wounds
Gabapentin 10% Topical Gel
Neuropathic Pain, Diabetic Neuropathy, Postherpetic Neuralgia, Fibromyalgia, Complex Regional Pain Syndrome
Gabapentin 10%/Amantadine HCl 8%/Bupivacaine HCl 5%/Imipramine HCl 3%/Nifedipine 2% Topical Gel
Neuropathic Pain, Fibromyalgia, Migraine, Chronic Pain, Depression
Gabapentin 10%/Amantadine HCl 8%/Diclofenac Sodium 5%/Baclofen 2%/Lidocaine 2% Topical Gel
Neuropathic Pain, Fibromyalgia, Multiple Sclerosis, Rheumatoid Arthritis, Sciatica
Gabapentin 10%/Clonidine HCl 0.2%/Baclofen 1% Topical Gel
Neuropathic Pain, Spasticity, Fibromyalgia, Migraine, Anxiety.
Gabapentin 10%/Ketamine 10% Ketoprofen 10%/Lidocaine 5% Topical Gel
Neuropathic Pain, Chronic Pain, Arthritis, Fibromyalgia, Post-Surgical Pain
Gabapentin 10%/Ketamine 10%/Ketoprofen 10% Topical Gel
Neuropathic Pain, Arthritis, Fibromyalgia, Chronic Pain, Postherpetic Neuralgia
Gabapentin 10%/Ketamine 10%/Ketoprofen 10%/Lidocaine 5% Transdermal Gel
Neuropathic Pain, Complex Regional Pain Syndrome, Diabetic Neuropathy, Postherpetic Neuralgia, Fibromyalgia
Gabapentin 10%/Ketamine 7%/Ketorolac Tromethamine 10% Transdermal Gel
Neuropathic Pain, Complex Regional Pain Syndrome, Diabetic Peripheral Neuropathy, Postherpetic Neuralgia, Fibromyalgia
Gabapentin 10%/Ketamine HCL 10% Transdermal Gel
Neuropathic Pain, Postherpetic Neuralgia, Diabetic Neuropathy, Complex Regional Pain Syndrome, Fibromyalgia
Gabapentin 10%/Ketamine HCL 11.5%/Ketoprofen 5%/Lidocaine HCL 4% Transdermal Gel
Neuropathic Pain, Complex Regional Pain Syndrome, Diabetic Neuropathy, Postherpetic Neuralgia, Fibromyalgia
Gabapentin 10%/Ketamine HCl 11.5%/Ketoprofen 10%/Lidocaine HCl 10% Transdermal Gel
Neuropathic Pain, Complex Regional Pain Syndrome, Diabetic Neuropathy, Postherpetic Neuralgia, Fibromyalgia.
Gabapentin 10%/Ketoprofen 20% Topical Gel
Neuropathic Pain, Osteoarthritis, Diabetic Neuropathy, Postherpetic Neuralgia, Fibromyalgia
Gabapentin 10%/Ketoprofen 5% Transdermal Gel
Neuropathic Pain, Osteoarthritis, Diabetic Neuropathy, Postherpetic Neuralgia, Fibromyalgia
Gabapentin 10%/Ketoprofen 5%/Acyclovir 2%/Amitriptyline HCl 2%/Tetracaine 1% Topical Gel
Herpes Zoster, Postherpetic Neuralgia, Neuropathic Pain, Trigeminal Neuralgia, Migraine.
Gabapentin 10%/Ketoprofen 5%/Amitriptyline HCl 2%/Lidocaine 1% Topical Gel
Neuropathic Pain, Fibromyalgia, Migraine, Arthritis, Sciatica
Gabapentin 10%/Lidocaine 2%/Prilocaine 2% Topical Gel
Neuropathic Pain, Postherpetic Neuralgia, Trigeminal Neuralgia, Peripheral Neuropathy, Complex Regional Pain Syndrome.
Gabapentin 10%/Menthol 5%/Camphor 2%/Lidocaine 2%/Capsaicin 0.05% Topical Gel
Neuropathic Pain, Fibromyalgia, Osteoarthritis, Rheumatoid Arthritis, Postherpetic Neuralgia
Gabapentin 15%/Lidocaine HCl 3%/Prilocaine HCl 3% Topical Gel
Neuropathic Pain, Postherpetic Neuralgia, Trigeminal Neuralgia, Diabetic Neuropathy, Peripheral Neuropathy.
Gabapentin 15%/Lidocaine HCl 3% Transdermal Gel
Neuropathic Pain, Postherpetic Neuralgia, Diabetic Neuropathy, Fibromyalgia, Complex Regional Pain Syndrome
Gabapentin 20% Transdermal Gel
Neuropathic Pain, Diabetic Neuropathy, Postherpetic Neuralgia, Fibromyalgia, Restless Legs Syndrome
Gabapentin 4% Rectal Gel
Neuropathic Pain, Seizure Disorders, Restless Leg Syndrome, Postherpetic Neuralgia, Anxiety Disorders
Gabapentin 4%/Ketamine 2.5%/Ketoprofen 4%/Lidocaine 4% Transdermal Gel
Neuropathic Pain, Diabetic Neuropathy, Postherpetic Neuralgia, Complex Regional Pain Syndrome, Fibromyalgia
Gabapentin 40 mg/g Topical Gel
Neuropathic Pain, Postherpetic Neuralgia, Diabetic Neuropathy, Fibromyalgia, Complex Regional Pain Syndrome
Gabapentin 5 mg/0.1 ml Topical Gel (Vet)
Arthritis, Dermatitis, Pruritus, Otitis, Wounds
Gabapentin 5%/Amitriptyline HCl 2%/Lidocaine 2% Topical Gel
Neuropathic Pain, Fibromyalgia, Migraine, Trigeminal Neuralgia, Postherpetic Neuralgia
Gabapentin 5%/Ketoprofen 10%/Lidocaine 5% Transdermal Gel
Neuropathic Pain, Osteoarthritis, Diabetic Neuropathy, Postherpetic Neuralgia, Fibromyalgia
Gabapentin 5%/Ketoprofen 4% Transdermal Gel
Neuropathic Pain, Osteoarthritis, Diabetic Neuropathy, Postherpetic Neuralgia, Fibromyalgia
Gabapentin 5%/Ketoprofen 5%/Lidocaine 5%/Pentoxifylline 5% Transdermal Gel
Neuropathic Pain, Diabetic Neuropathy, Complex Regional Pain Syndrome, Peripheral Artery Disease, Postherpetic Neuralgia
Gabapentin 5%/Loperamide HCl 4% Transdermal Gel
Neuropathic Pain, Diabetic Neuropathy, Postherpetic Neuralgia, Chronic Pain, Restless Leg Syndrome
Gabapentin 50 mg/g Topical Gel
Neuropathic Pain, Postherpetic Neuralgia, Diabetic Neuropathy, Fibromyalgia, Complex Regional Pain Syndrome
Gabapentin 6% Topical Gel
Neuropathic Pain, Fibromyalgia, Migraine, Trigeminal Neuralgia, Sciatica
Gabapentin 6% Transdermal Gel
Neuropathic Pain, Postherpetic Neuralgia, Diabetic Neuropathy, Fibromyalgia, Restless Leg Syndrome
Gabapentin 6%/Acetaminophen 5% Topical Gel
Neuropathic Pain, Fibromyalgia, Migraine, Sciatica, Arthritis.
Gabapentin 6%/Acyclovir 5%/Ketoprofen 5%/Amitriptyline HCl 2%/Bupivacaine HCl 1% Topical Gel
Herpes Zoster, Postherpetic Neuralgia, Neuropathic Pain, Migraine, Fibromyalgia
Gabapentin 6%/Clonidine HCl 0.2% Topical Gel
Neuropathic Pain, Migraine, Fibromyalgia, Anxiety, ADHD
Gabapentin 6%/Indomethacin 10% Transdermal Gel
Neuropathic Pain, Osteoarthritis, Rheumatoid Arthritis, Diabetic Neuropathy, Fibromyalgia
Gabapentin 6%/Ketamine 10% Ketoprofen 10%/Lidocaine 4% Topical Gel
Neuropathic Pain, Chronic Pain, Fibromyalgia, Arthritis, Postherpetic Neuralgia
Gabapentin 6%/Ketamine 10%/Nifedipine 2% Topical Gel
Neuropathic Pain, Complex Regional Pain Syndrome, Diabetic Neuropathy, Postherpetic Neuralgia, Fibromyalgia
Gabapentin 6%/Ketoprofen 10%/Lidocaine 10% Transdermal Gel
Neuropathic Pain, Osteoarthritis, Diabetic Neuropathy, Postherpetic Neuralgia, Fibromyalgia
Gabapentin 6%/Ketoprofen 20%/Lidocaine 10% Topical Gel
Neuropathic Pain, Arthritis, Musculoskeletal Pain, Postherpetic Neuralgia, Chronic Pain
Gabapentin 6%/Ketoprofen 20%/Lidocaine 10% Transdermal Gel
Neuropathic Pain, Arthritis, Fibromyalgia, Complex Regional Pain Syndrome, Postherpetic Neuralgia
Gabapentin 6%/Lidocaine 2%/Prilocaine HCl 2%/Meloxicam 0.09% Topical Gel
Neuropathic Pain, Osteoarthritis, Fibromyalgia, Rheumatoid Arthritis, Postherpetic Neuralgia
Gabapentin 6%/Lidocaine 2.5%/Baclofen 2%/Cyclobenzaprine HCl 2%/Ketoprofen 2% Topical Gel
Neuropathic Pain, Fibromyalgia, Muscle Spasms, Arthritis, Sciatica
Gabapentin 6%/Lidocaine HCl 5%/Meloxicam 0.5%/Orphenadrine Citrate 5% Transdermal Gel
Neuropathic Pain, Osteoarthritis, Fibromyalgia, Muscle Spasms, Diabetic Neuropathy
Gabapentin 6%/Meloxicam 0.5% Topical Gel
Neuropathic Pain, Osteoarthritis, Diabetic Neuropathy, Postherpetic Neuralgia, Fibromyalgia
Gabapentin 6%/Mometasone Furoate 0.1% Topical Gel
Neuropathic Pain, Eczema, Psoriasis, Lichen Planus, Vitiligo
Gabapentin 6%/Naltrexone HCl 1% Topical Gel
Neuropathic Pain, Fibromyalgia, Postherpetic Neuralgia, Diabetic Neuropathy, Multiple Sclerosis.
Gentamicin 0.2%/Lidocaine HCl 5%/Misoprostol 0.0024%/Phenytoin 5% Topical Gel
Wound Healing, Diabetic Ulcers, Venous Ulcers, Pressure Ulcers, Burn Wounds
Gentamicin 0.4 mg/0.2 Gm/Betamethasone 0.2 mg/0.2 Gm Topical Gel (Vet)
Dermatitis, Otitis, Wounds, Pyoderma, Interdigital Cysts
Gentamicin 1% Topical Gel (Vet)
Dermatitis, Pyoderma, Wound Infections, Otitis Externa, Interdigital Cysts
Gentamicin 2 mg/mL/Misoprostol 24 µg/mL/Phenytoin 50 mg/mL Topical Gel
Diabetic Neuropathy, Pressure Ulcers, Venous Stasis Ulcers, Radiation Dermatitis, Peripheral Neuropathy
Gentamicin Sulfate 2 mg/mL/Misoprostol 0.024 mg/mL/Phenytoin 50 mg/mL Topical Gel
Diabetic Foot Ulcers, Pressure Ulcers, Venous Stasis Ulcers, Burns, Surgical Wounds
Glipizide 2.5 mg/0.1 ml Topical Lipoderm® (Vet)
Diabetes Mellitus, Hyperlipidemia, Hyperglycemia, Hypoglycemia, Obesity.
Glucosamine HCl 10%/Ketoprofen 15% Transdermal Gel
Osteoarthritis, Rheumatoid Arthritis, Tendinitis, Bursitis, Joint Pain
Glucosamine Sulfate 10% Topical Gel
Osteoarthritis, Rheumatoid Arthritis, Joint Pain, Inflammation, Bursitis
Glutathione 20% Topical Gel
Melasma, Acne, Hyperpigmentation, Eczema, Psoriasis
Glutathione 250 mg/mL Topical Gel
Skin Disorders, Hyperpigmentation, Anti-Aging, Wound Healing, Inflammation
Glutathione 250 mg/ml Transdermal Gel
Parkinson's Disease, Peripheral Neuropathy, Liver Diseases, Autism Spectrum Disorders, Chronic Fatigue Syndrome
Glycolic Acid 15% Topical Gel
Acne, Hyperpigmentation, Keratosis Pilaris, Photoaging, Psoriasis
Glycolic Acid 3% Topical Gel
Acne, Hyperpigmentation, Keratosis Pilaris, Psoriasis, Ichthyosis
Glycolic Acid 5%/Salicylic Acid 1% Topical Gel
Acne, Keratosis Pilaris, Hyperpigmentation, Warts, Seborrheic Dermatitis
Glycolic Acid 60% Topical Gel
Acne, Hyperpigmentation, Keratosis Pilaris, Photoaging, Melasma
Glycolic Acid 70% Topical Gel
Acne, Hyperpigmentation, Actinic Keratosis, Melasma, Photoaging
Glycolic Acid 8% Topical Gel
Acne, Hyperpigmentation, Keratosis Pilaris, Photoaging, Melasma
Glycolic Acid 8%/Lactic Acid 7% Topical Day Gel
Acne, Hyperpigmentation, Melasma, Rosacea, Keratosis Pilaris
Glycolic Acid 8%/Lactic Acid 9%/Urea 10% Topical Gel
Acne, Hyperpigmentation, Melasma, Keratosis Pilaris, Rosacea
Glycopyrrolate 0.1 mg/0.25 ml Topical Gel
Hyperhidrosis, Urticaria, Pruritus, Dermatitis, Angioedema
Guaifenesin 10% Topical Gel
Muscle Spasms, Fibromyalgia, Myofascial Pain Syndrome, Chronic Fatigue Syndrome, Tension Headaches
Guaifenesin 10%/Ibuprofen 5%/Ketoprofen 10% Topical Gel
Musculoskeletal Pain, Osteoarthritis, Rheumatoid Arthritis, Tendonitis, Bursitis
Guaifenesin 10%/Ibuprofen 5%/Ketoprofen 10% Transdermal Gel
Musculoskeletal Pain, Osteoarthritis, Rheumatoid Arthritis, Tendonitis, Fibromyalgia
Guaifenesin 10%/Indomethacin 10%/Lidocaine HCl 2% Transdermal Gel
Musculoskeletal Pain, Osteoarthritis, Fibromyalgia, Tendonitis, Bursitis
Guaifenesin 10%/Ketoprofen 10%/Amitriptyline HCl 2%/Lidocaine 2%/Capsaicin 0.025% Topical Gel
Fibromyalgia, Neuropathic Pain, Osteoarthritis, Rheumatoid Arthritis, Muscle Spasms.
Guaifenesin 10%/Ketoprofen 10%/Capsaicin 0.05%/Lidocaine HCl 4% Topical Gel
Osteoarthritis, Rheumatoid Arthritis, Fibromyalgia, Neuropathy, Tendonitis
Guaifenesin 10%/Ketoprofen 10%/Lidocaine 5% Transdermal Gel
Musculoskeletal Pain, Fibromyalgia, Neuropathic Pain, Osteoarthritis, Chronic Pain Syndromes
Guaifenesin 10%/Magnesium Chloride Hexahydrate 10% Topical Gel
Musculoskeletal Pain, Fibromyalgia, Myofascial Pain Syndrome, Osteoarthritis, Tension Headaches
Guaifenesin 10%/Magnesium Chloride Hexahydrate 10%/Diclofenac Sodium 5%/Piroxicam 2% Topical Gel
Osteoarthritis, Rheumatoid Arthritis, Tendinitis, Bursitis, Gout.
Guaifenesin 10%/Magnesium Sulfate Heptahydrate 10% Topical Gel
Bronchitis, Asthma, COPD, Cystic Fibrosis, Emphysema
Guaifenesin 10%/Pentoxifylline 8% Transdermal Gel
Peripheral Vascular Disease, Lymphedema, Raynaud's Phenomenon, Diabetic Neuropathy, Venous Stasis
Guaifenesin 15%/Ketoprofen 10%/Baclofen 2% Topical Gel
Osteoarthritis, Fibromyalgia, Rheumatoid Arthritis, Tendinitis, Bursitis
Haloperidol 1 mg/mL Topical Gel
Schizophrenia, Bipolar Disorder, Tourette Syndrome, Agitation, Nausea
Haloperidol 5 mg/ml Transdermal Gel
Schizophrenia, Bipolar Disorder, Tourette Syndrome, Delirium, Agitation
Haloperidol 50 mg/ml Topical Gel
Schizophrenia, Tourette Syndrome, Bipolar Disorder, Delusional Disorder, Psychosis
Hyaluronic Acid Sodium 0.1% Topical Gel
Osteoarthritis, Dry Skin, Wound Healing, Burns, Scar Management
Hydrocortisone 0.05%/Vitamin E Acetate 0.5% Topical Gel
Eczema, Psoriasis, Dermatitis, Insect Bites, Skin Irritation
Hydrocortisone 1%/Hydroquinone 4%/Tretinoin 0.025% Topical Gel
Melasma, Post-inflammatory Hyperpigmentation, Solar Lentigines, Acne Vulgaris, Age Spots
Hydrocortisone 1%/Hydroquinone 4%/Tretinoin 0.05% Topical Gel
Melasma, Post-inflammatory Hyperpigmentation, Solar Lentigines, Acne Vulgaris, Age Spots
Hydrocortisone 1%/Hydroquinone 5%/Tretinoin 0.1% Topical Gel
Melasma, Post-inflammatory Hyperpigmentation, Solar Lentigines, Acne Vulgaris, Freckles
Hydrocortisone 1%/Hydroquinone 6%/Kojic acid 3%/Tretinoin 0.025% Topical Gel
Melasma, Post-inflammatory Hyperpigmentation, Solar Lentigines, Acne Vulgaris, Freckles
Hydrocortisone 1%/Hydroquinone 6%/Tretinoin 0.025% Topical Gel
Melasma, Post-inflammatory Hyperpigmentation, Solar Lentigines, Acne Vulgaris, Freckles
Hydrocortisone 1%/Hydroquinone 8%/Kojic Acid 5%/Tretinoin 0.025% Topical Gel
Melasma, Post-inflammatory Hyperpigmentation, Solar Lentigines, Acne Vulgaris, Freckles
Hydrocortisone 1%/Hydroquinone 8%/Kojic acid 2%/Tretinoin 0.1% Topical Gel
Melasma, Post-inflammatory Hyperpigmentation, Solar Lentigines, Acne Vulgaris, Freckles
Hydrocortisone 1%/Hydroquinone 8%/Tretinoin 0.025% Topical Gel
Melasma, Post-inflammatory Hyperpigmentation, Solar Lentigines, Acne Vulgaris, Freckles
Hydrocortisone 1%/Hydroquinone 8%/Tretinoin 0.05% Topical Gel
Melasma, Post-inflammatory Hyperpigmentation, Solar Lentigines, Acne Vulgaris, Age Spots
Hydrocortisone 1%/Lidocaine HCl 2% Rectal Gel
Anal Fissures, Pruritus Ani, Hemorrhoids, Anal Eczema, Anal Itching
Hydrocortisone 1%/Menthol 0.5% Topical Gel
Eczema, Psoriasis, Dermatitis, Acne, Rosacea
Hydrocortisone 10% Topical Gel
Atopic Dermatitis, Psoriasis, Seborrheic Dermatitis, Contact Dermatitis, Eczema
Hydrocortisone 10% Topical Gel
Eczema, Psoriasis, Dermatitis, Lichen Planus, Pruritus
Hydrocortisone 2%/Hydroquinone 4%/Tretinoin 0.03% Topical Gel
Melasma, Post-inflammatory Hyperpigmentation, Solar Lentigines, Acne Vulgaris, Age Spots
Hydrocortisone 2%/Hydroquinone 6%/Kojic Acid 3.2%/Salicylic Acid 4%/Tretinoin 0.01% Topical Gel
Melasma, Post-inflammatory Hyperpigmentation, Solar Lentigines, Acne Vulgaris, Freckles
Previous
Next
8 / 14
Optimized for desktop use.
Please view on a larger screen.