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.
Methyl Salicylate 14%/Menthol 3% Topical Lotion
Arthritis, Muscle Pain, Joint Pain, Back Pain, Fibromyalgia
Methyl Salicylate 30%/Camphor 6%/Menthol 3% Topical Lotion
Musculoskeletal Pain, Arthritis, Joint Pain, Muscle Aches, Back Pain
Methyl Salicylate 4.9%/Camphor 2%/Menthol 1% Topical Lotion
Musculoskeletal Pain, Arthritis, Joint Pain, Muscle Aches, Back Pain
Miconazole 1% Tolnaftate 1% Topical Lotion
Athlete's Foot, Jock Itch, Ringworm, Tinea Versicolor, Fungal Skin Infection
Minoxidil 10% Topical Lotion
Alopecia Areata, Androgenic Alopecia, Telogen Effluvium, Female Pattern Hair Loss, Traction Alopecia
Minoxidil 10%/Finasteride 0.1% Topical Lotion
Androgenic Alopecia, Male Pattern Baldness, Female Pattern Baldness, Alopecia Areata, Telogen Effluvium
Minoxidil 10%/Progesterone 0.25%/Tretinoin 0.025% Topical Lotion
Androgenic Alopecia, Acne Vulgaris, Hirsutism, Melasma, Seborrheic Dermatitis
Minoxidil 10%/Progesterone 0.5%/Vitamin E Acetate 10 U/ml Topical Lotion
Androgenic Alopecia, Female Pattern Hair Loss, Telogen Effluvium, Alopecia Areata, Hirsutism.
Minoxidil 5% Topical Lotion
Alopecia Areata, Androgenic Alopecia, Telogen Effluvium, Female Pattern Hair Loss, Traction Alopecia
Minoxidil 5%/ Retinoic Acid 0.01% Topical Lotion
Androgenetic Alopecia, Alopecia Areata, Telogen Effluvium, Female Pattern Hair Loss, Hair Thinning
Minoxidil 5%/Dutasteride 0.05%/Tretinoin 0.025% Topical Lotion
Androgenic Alopecia, Acne Vulgaris, Hirsutism, Hypertrichosis, Seborrheic Dermatitis
Minoxidil 5%/Finasteride 0.1%/Tretinoin 0.025% Topical Lotion
Androgenic Alopecia, Acne Vulgaris, Hirsutism, Hyperpigmentation, Lichen Planopilaris
Minoxidil 5%/Progesterone 0.25%/Tretinoin 0.025% Topical Lotion
Androgenic Alopecia, Acne Vulgaris, Hirsutism, Melasma, Seborrheic Dermatitis
Minoxidil 5%/Tretinoin 0.025% Topical Lotion
Alopecia Areata, Androgenetic Alopecia, Hirsutism, Acne Vulgaris, Hypertrichosis.
Minoxidil 7%/Tretinoin 0.01% Topical Lotion
Androgenetic Alopecia, Alopecia Areata, Female Pattern Hair Loss, Telogen Effluvium, Traction Alopecia
Minoxidil 8%/Tretinoin 0.01% Topical Lotion
Androgenetic Alopecia, Alopecia Areata, Female Pattern Hair Loss, Telogen Effluvium, Traction Alopecia
Misoprostol 0.0024%/Lidocaine HCl 2% Topical Lotion
Actinic Keratosis, Lichen Sclerosus, Genital Warts, Anal Fissures, Vulvodynia
Mometasone Furoate 10 mg/mL Topical Lotion
Psoriasis, Eczema, Dermatitis, Lichen Planus, Seborrheic Dermatitis
Nicotinic Acid 250 mg/5 mL Topical Lotion
Xanthelasma, Hyperlipidemia, Niacin Deficiency, Acne, Osteoarthritis
Nystatin 6.62 mg/mL Triamcinolone Acetonide 0.43 mg/mL Topical Lotion
Candidiasis, Eczema, Psoriasis, Dermatitis, Intertrigo
Oxymetazoline HCl 0.06% Topical Lotion
Rhinitis, Allergic Conjunctivitis, Nasal Congestion, Sinusitis, Rhinorrhea
Oxymetazoline HCl 0.5% Topical Lotion
Rosacea, Facial Erythema, Rhinophyma, Acne, Seborrheic Dermatitis
Pramoxine HCl 1% Topical Lotion
Pruritus, Eczema, Dermatitis, Psoriasis, Insect Bites
Pramoxine HCl 1%/Clioquinol 0.75%/Hydrocortisone 0.25% Topical Lotion
Atopic Dermatitis, Contact Dermatitis, Seborrheic Dermatitis, Psoriasis, Intertrigo
Pramoxine HCl 1%/Naltrexone HCl 0.5% Topical Lotion
Pruritus, Psoriasis, Atopic Dermatitis, Lichen Simplex Chronicus, Contact Dermatitis.
Resorcinol 0.585%/Sulfur 4% Topical Lotion
Acne, Seborrheic Dermatitis, Psoriasis, Rosacea, Pityriasis Versicolor
Salicylic Acid 1.8% Scalp Lotion
Seborrheic Dermatitis, Psoriasis, Dandruff, Acne, Folliculitis
Salicylic Acid 3%/Urea 20% Topical Lotion
Psoriasis, Eczema, Ichthyosis, Keratosis Pilaris, Plantar Warts
Sodium Thiosulfate 25% Topical Lotion
Eczema, Psoriasis, Acne, Dermatitis, Rosacea
Spironolactone 1%/Finasteride 0.1% Topical Lotion
Androgenic Alopecia, Hirsutism, Acne Vulgaris, Polycystic Ovary Syndrome, Seborrheic Dermatitis
Spironolactone 3% Topical Lotion
Acne, Seborrheic Dermatitis, Rosacea, Hyperandrogenism, Hirsutism
Spironolactone 5% Topical Lotion
Acne, Hirsutism, Androgenetic Alopecia, Female Pattern Hair Loss, Hypertrichosis
Sulfacetamide Sodium 10% Topical Lotion
Acne, Rosacea, Seborrheic Dermatitis, Folliculitis, Impetigo
Sulfacetamide Sodium 10%/Sulfur 5% Topical Lotion
Acne, Seborrheic Dermatitis, Rosacea, Folliculitis, Tinea Versicolor
Sulfur 2%/Salicylic Acid 1.5% Topical Cleanser Lotion
Acne, Seborrheic Dermatitis, Psoriasis, Rosacea, Eczema
Testosterone 2.5% Scalp Lotion
Androgenetic Alopecia, Male Pattern Baldness, Hypogonadism, Postmenopausal Alopecia, Telogen Effluvium
Testosterone 5% Scalp Lotion
Androgenetic Alopecia, Hypogonadism, Male Pattern Baldness, Post-Menopausal Alopecia, Telogen Effluvium
Titanium Dioxide 1% Topical Lotion
Sunburn, Eczema, Psoriasis, Acne, Dermatitis
Triamcinolone Acetonide 0.05% Topical Lotion
Eczema, Psoriasis, Dermatitis, Lichen Planus, Pruritus
Trichloroacetic Acid 20% Topical Lotion
Actinic Keratosis, Warts, Condyloma Acuminatum, Seborrheic Keratosis, Acne Scars
Trolamine Salicylate 20%/Ketoprofen 10% Topical Lotion
Osteoarthritis, Rheumatoid Arthritis, Tendinitis, Bursitis, Gout
Zinc Chloride 0.2% Resorcinol 5% Salicylic Acid 0.1% Topical Lotion
Acne, Psoriasis, Eczema, Seborrheic Dermatitis, Hyperkeratosis
Zinc Gluconate 0.5%/Amino Acid Topical Lotion (Vet)
Dermatitis, Acne, Eczema, Psoriasis, Alopecia
Previous
2 / 2
Optimized for desktop use.
Please view on a larger screen.