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.
Anthralin 0.5% Topical Spray
Psoriasis, Alopecia Areata, Lichen Planus, Vitiligo, Eczema
Benzocaine 10 mg/mL/Dexamethasone 1 mg/mL Topical Spray
Pain Relief, Inflammation, Dermatitis, Pruritus, Minor Skin Irritations
Betamethasone Valerate 0.12%/Lidocaine HCl 2% Topical Spray
Atopic Dermatitis, Psoriasis, Lichen Sclerosus, Seborrheic Dermatitis, Contact Dermatitis
Betamethasone Valerate 2.4 mg/g/Lidocaine HCl 20 mg/g/Miconazole Nitrate 20 mg/g Topical Spray
Eczema, Psoriasis, Fungal Infections, Dermatitis, Pruritus
Betamethasone Valerate 2.4 mg/mL/Lidocaine HCl 20 mg/mL/Miconazole Nitrate 20 mg/mL Topical Spray
Eczema, Psoriasis, Fungal Skin Infections, Dermatitis, Pruritus
Biotin 0.2% Scalp Spray
Alopecia, Hair Loss, Seborrheic Dermatitis, Psoriasis, Androgenic Alopecia
Bupivicaine HCl 0.5%/Ketamine HCl 10% Topical Spray
Post-Operative Pain, Neuropathic Pain, Fibromyalgia, Complex Regional Pain Syndrome, Osteoarthritis
Chlorpromazine HCl 50 mg/mL Topical Spray
Psoriasis, Eczema, Neuropathic Pain, Pruritus, Localized Inflammation
Clobetasol Propionate 0.05%/Pyrithione Zinc 2% Topical Spray
Psoriasis, Seborrheic Dermatitis, Eczema, Lichen Planus, Atopic Dermatitis
Clobetasol-17-Propionate 0.05%/Zinc Pyrithione 0.25% Topical Spray
Psoriasis, Eczema, Dermatitis, Seborrheic Dermatitis, Lichen Planus
Coenzyme Q-10 1.6 mg/ml/Phytonadione 0.16 mg/ml/Tea Tree Oil Topical Spray
Atopic Dermatitis, Psoriasis, Acne, Fungal Infections, Eczema
Desoximetasone 0.25%/Zinc Pyrithione 0.2% Topical Spray
Seborrheic Dermatitis, Psoriasis, Atopic Dermatitis, Lichen Planus, Acne Vulgaris
Dexamethasone 0.04% Topical Spray
Psoriasis, Eczema, Dermatitis, Lichen Planus, Insect Bites
Dexamethasone 0.075 mg/0.1 ml Topical Spray
Atopic Dermatitis, Psoriasis, Eczema, Acne, Seborrheic Dermatitis
Diphenhydramine HCl 10 mg/mL/Hydrocortisone Acetate 10 mg/mL/Pramoxine HCl 10 mg/mL Topical Spray
Allergic Dermatitis, Contact Dermatitis, Insect Bites, Eczema, Rash
Diphenhydramine HCl 2%/Lidocaine HCl 1%/Dexamethasone Sodium Phosphate 0.05% Topical Spray
Atopic Dermatitis, Pruritus, Contact Dermatitis, Psoriasis, Lichen Simplex Chronicus
Flurbiprofen 10%/Amitriptyline HCl 2%/Cyclobenzaprine HCl 2% Topical Spray
Fibromyalgia, Neuropathic Pain, Migraine, Tension Headache, Chronic Low Back Pain
Flurbiprofen 10%/Bupivacaine HCl 2%/DMSO Topical Spray
Osteoarthritis, Tendinitis, Bursitis, Rheumatoid Arthritis, Fibromyalgia
Flurbiprofen 10%/Capsaicin 0.25% Topical Spray
Osteoarthritis, Rheumatoid Arthritis, Tendinitis, Bursitis, Neuropathic Pain.
Gentamicin 0.57 mg/ml/Betamethasone 0.284 mg/ml Topical Spray (Vet)
Dermatitis, Otitis, Pyoderma, Wounds, Interdigital Cysts
Glycopyrrolate 1% Topical Spray
Hyperhidrosis, Gustatory Sweating, Sialorrhea, Chronic Respiratory Conditions, Peptic Ulcer Disease
Ketamine HCl 11.5% Topical Spray
Chronic Pain, Neuropathic Pain, Complex Regional Pain Syndrome, Fibromyalgia, Postherpetic Neuralgia
Lidocaine HCl 10% Topical Spray
Neuropathic Pain, Postherpetic Neuralgia, Local Anesthesia for Minor Procedures, Pruritus, Sunburn
Metronidazole 500 mg/ml Topical Spray
Rosacea, Acne Vulgaris, Bacterial Vaginosis, Wound Infections, Skin Ulcers
Morphine Sulfate 2% Topical Spray
Chronic Pain, Cancer-Related Pain, Neuropathic Pain, Palliative Care, Arthritic Pain
Triamcinolone Acetonide 0.04% Topical Spray
Atopic Dermatitis, Psoriasis, Seborrheic Dermatitis, Contact Dermatitis, Lichen Planus
Vancomycin 2.5% Topical Spray
Cellulitis, Folliculitis, Impetigo, Erysipelas, Acne
Zinc Pyrithione 0.2% Topical Spray
Seborrheic Dermatitis, Psoriasis, Dandruff, Tinea Versicolor, Acne
Zinc Pyrithione 0.2%/Clobetasol Propionate 0.05% Topical Spray
Seborrheic Dermatitis, Psoriasis, Atopic Dermatitis, Tinea Versicolor, Lichen Planus
Zinc Pyrithione 2% Topical Spray
Seborrheic Dermatitis, Psoriasis, Dandruff, Tinea Versicolor, Acne
Optimized for desktop use.
Please view on a larger screen.