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.
Allantoin 2%/Zinc Oxide 12% Topical Paste
Diaper Rash, Pressure Ulcers, Minor Burns, Eczema, Psoriasis
Aluminum 20%/Zinc Oxide 40% Topical Paste
Diaper Rash, Pressure Ulcers, Minor Burns, Skin Irritations, Dermatitis
Aluminum Chlorohydrate 7.7% Topical Paste
Hyperhidrosis, Acne, Dermatitis, Eczema, Psoriasis
Aluminum Hydroxide 1.74% Topical Paste
Eczema, Psoriasis, Acne, Dermatitis, Rosacea
Amikacin Sulfate 5% Topical Paste
Bacterial Skin Infections, Pseudomonas Infections, Burn Wound Infections, Surgical Wound Infections, Chronic Ulcers
Apomorphine HCl 10% Topical Paste
Parkinson's Disease, Hyperhidrosis, Dyskinesia, Dystonia, Urinary Incontinence
Apomorphine HCl 3% Topical Paste
Parkinson's Disease, Dystonia, Restless Leg Syndrome, Tourette Syndrome, Hypersexuality
Arginine 400 mg/Gm Rectal Paste
Anal Fissures, Hemorrhoids, Pruritus Ani, Anal Stenosis, Anal Eczema
Benzoyl Peroxide 14%/Zinc Oxide 72% Topical Paste
Acne Vulgaris, Seborrheic Dermatitis, Rosacea, Psoriasis, Folliculitis
Betamethasone Dipropionate 0.064%/Salicylic Acid 3% Topical Paste
Psoriasis, Dermatitis, Eczema, Lichen Planus, Seborrheic Dermatitis
Boric Acid 0.5%/Kaolin 50%/Methyl Salicylate 3%/Salicylic Acid 0.75% Topical Paste
Psoriasis, Eczema, Acne, Dermatitis, Keratosis Pilaris
Chloramphenicol 1% Topical Paste
Bacterial Skin Infections, Eye Infections, Ear Infections, Wound Infections, Acne Vulgaris
Cimetidine 5%/Ibuprofen 2%/Salicylic Acid 60%/Trichloroacetic Acid 1% Topical Paste
Warts, Corns and Calluses, Plantar Warts, Psoriasis, Acne Vulgaris
Coal Tar 1%/Zinc Oxide 25% Topical Paste
Psoriasis, Eczema, Seborrheic Dermatitis, Lichen Simplex Chronicus, Atopic Dermatitis
Coal Tar 6%/Zinc Oxide 6% Topical Paste
Psoriasis, Eczema, Seborrheic Dermatitis, Lichen Simplex Chronicus, Atopic Dermatitis
Coal Tar Topical Solution 20%/Salicylic Acid 5% Topical Paste
PSORIASIS, SEBORRHEIC DERMATITIS, ECZEMA, ACNE, SKIN INFECTIONS
Ketoconazole 2%/Neomycin 0.5% Topical Paste
Cutaneous Fungal Infections, Secondary Bacterial Skin Infections, Dermatitis with Superinfection, Intertrigo, Tinea Versicolor
Lactic Acid 18%/Salicylic Acid 18% Topical Paste
Plantar Warts, Psoriasis, Ichthyosis, Acne, Calluses
Lidocaine 5%/Salicylic Acid 60% Topical Paste
Plantar Warts, Common Warts, Molluscum Contagiosum, Calluses, Keratoderma
Mupirocin 1.4%/Nystatin 30,000 U/Gm Topical Paste
Impetigo, Folliculitis, Intertrigo, Candidiasis, Tinea Versicolor
Phenol 0.2% Zinc Oxide 12% Topical Paste
Diaper Dermatitis, Pressure Ulcers, Minor Skin Irritations, Eczema, Psoriasis
Podophyllum Resin 5%/Salicylic Acid 30% Topical Paste
Plantar Warts, Molluscum Contagiosum, Common Warts, Verruca Vulgaris, Condyloma Acuminatum
Resorcinol 2% Zinc Oxide 24% Topical Paste
Acne, Eczema, Psoriasis, Dermatitis, Pruritus
Resorcinol 50% Topical Paste
Psoriasis, Eczema, Acne, Warts, Hyperkeratosis
Salicyclic Acid 60% Topical Paste
Warts, Psoriasis, Calluses, Corns, Acne
Salicylic Acid 1.76%/Anthralin 0.09%/Zinc Oxide 20% Topical Paste
Psoriasis, Seborrheic Dermatitis, Acne Vulgaris, Alopecia Areata, Lichen Planus
Salicylic Acid 40% Topical Paste
Warts, Psoriasis, Calluses, Corns, Acne
Salicylic Acid 50% Topical Paste
Warts, Psoriasis, Acne, Corns, Calluses
Salicylic Acid 70% Topical Paste
Psoriasis, Warts, Corns, Calluses, Ichthyosis
Salicylic Acid 80% Topical Paste
Psoriasis, Acne, Seborrheic Dermatitis, Keratosis Pilaris, Warts
Sucralfate 40% Topical Paste
Pressure Ulcers, Diabetic Ulcers, Venous Stasis Ulcers, Wounds with Exudate, Radiation Dermatitis
Tetracycline HCl 5% Topical Paste
Acne, Rosacea, Dermatitis, Skin Infections, Periodontitis
Tranexamic Acid 2% Topical Paste
Melasma, Post-inflammatory Hyperpigmentation, Solar Lentigo, Acquired Dermal Melanocytosis, Periorbital Hyperpigmentation
Trichloroacetic 20% /Salicylic Acid 60% Topical Paste
Seborrheic Keratosis, Actinic Keratosis, Acne Vulgaris, Psoriasis, Warts
Urea 40% Topical Paste
Hyperkeratosis, Psoriasis, Onychomycosis, Ichthyosis, Corns and Calluses
Optimized for desktop use.
Please view on a larger screen.