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.
Glutathione 150 mg Sublingual Troches
Parkinson's Disease, Chronic Fatigue Syndrome, Liver Disease, Autoimmune Disorders, Peripheral Neuropathy
Glutathione 200 mg Troche
Parkinson's Disease, Alzheimer's Disease, Multiple Sclerosis, Amyotrophic Lateral Sclerosis, Autism
Glutathione 250 mg Troche
Parkinson's Disease, Alzheimer's Disease, Multiple Sclerosis, Autism, Chronic Fatigue Syndrome
Heparin 14000 units Oral Sublingual Troche
Deep Vein Thrombosis, Pulmonary Embolism, Atrial Fibrillation, Coronary Artery Disease, Peripheral Arterial Disease
Hydromorphone HCl 0.625 mg Oral Troches
Chronic Pain, Cancer Pain, Postoperative Pain, Non-Malignant Pain, Neuropathic Pain
Hydromorphone HCl 1 mg Troches
Chronic Pain, Cancer Pain, Postoperative Pain, Severe Pain, Palliative Care
Hydromorphone HCl 4 mg Oral Troche
Chronic Pain, Cancer Pain, Postoperative Pain, Non-Malignant Pain, Neuropathic Pain
Hydromorphone HCl 4 mg Troche
Chronic Pain, Cancer Pain, Neuropathic Pain, Postoperative Pain, Arthritis Pain
Ketamine 10 mg Troche
Depression, Anxiety, PTSD, Chronic Pain, Fibromyalgia
Ketamine 10 mg Troche
Depression, Anxiety, Chronic Pain, PTSD, Fibromyalgia
Ketamine 100 mg Troche
Depression, Anxiety, Chronic Pain, PTSD, Fibromyalgia
Ketamine 200 mg Troche
Depression, Anxiety, Chronic Pain, PTSD, Fibromyalgia
Ketamine 25 mg/Midazolam 3 mg/Ondansetron 2 mg Troche
Depression, Anxiety, Postoperative Nausea and Vomiting, Chronic Pain, Insomnia.
Ketamine 7.5 mg Troche
Depression, Anxiety, PTSD, Chronic Pain, Fibromyalgia
Ketamine HCl 28.75 mg Oral Troche
Chronic Pain, Depression, Complex Regional Pain Syndrome, Anxiety, Neuropathic Pain
Ketoprofen 25 mg Troche
Arthritis, Tendinitis, Bursitis, Gout, Fibromyalgia
Lidocaine HCl 5 mg Oral Troche
Oral Lichen Planus, Chemotherapy-Induced Mucositis, Oral Neuropathic Pain, Burning Mouth Syndrome, Aphthous Ulcers
Lorazepam 1 mg Troche
Anxiety, Insomnia, Seizures, Panic Disorder, Agitation
Methscopolamine Bromide 0.5 mg Troche
Gastroesophageal Reflux Disease, Irritable Bowel Syndrome, Peptic Ulcer Disease, Nausea, Vomiting
Methylcobalamin 20 mg Troches
Vitamin B12 Deficiency, Peripheral Neuropathy, Diabetic Neuropathy, Amyotrophic Lateral Sclerosis, Multiple Sclerosis
Methylcobalamin 4 mg Oral Troches
Vitamin B12 Deficiency, Peripheral Neuropathy, Pernicious Anemia, Memory Loss, Diabetic Neuropathy
Methyltestosterone 1 mg Troche
Hypogonadism, Andropause, Male Infertility, Delayed Puberty, Anemia
Methyltestosterone 10 mg Troche
Hypogonadism, Andropause, Male Infertility, Delayed Puberty, Low Libido
Methyltestosterone 2 mg Troche
Hypogonadism, Andropause, Male Infertility, Delayed Puberty, Low Libido
Methyltestosterone 25 mg Troche
Hypogonadism, Andropause, Male Infertility, Delayed Puberty, Low Libido
Methyltestosterone 5 mg Troche
Hypogonadism, Andropause, Male Infertility, Delayed Puberty, Low Libido
Metoclopramide 10 mg Troche
Gastroparesis, GERD, Nausea, Vomiting, Dyspepsia
Metoclopramide 5 mg Troche
Gastroparesis, GERD, Nausea, Vomiting, Dyspepsia
Miconazole Nitrate 10 mg Troche
Oral Thrush, Candidiasis, Fungal Infections, Tinea Versicolor, Angular Cheilitis
Miconazole Nitrate 250 mg Troche
Oral Thrush, Candidiasis, Fungal Infections, Tinea Versicolor, Vulvovaginal Candidiasis
Midazolam 0.5 mg Oral Troches
Anxiety, Seizure Disorders, Insomnia, Preoperative Sedation, Agitation
Minocycline 5 mg Troches
Acne, Rosacea, Rheumatoid Arthritis, Periodontitis, Skin Infections
Minoxidil 1.8 mg Oral Troches
Alopecia, Hypertension, Androgenetic Alopecia, Female Pattern Hair Loss, Male Pattern Baldness
Morphine Sulfate 10 mg Troche
Chronic Pain, Cancer Pain, Postoperative Pain, Neuropathic Pain, Arthritis Pain
Nicotinamide Adenine Dinucleotide Oxidized 25 mg Sublingual Troches
Chronic Fatigue Syndrome, Fibromyalgia, Parkinson's Disease, Depression, Metabolic Syndrome
Nifedipine 10 mg Sublingual Troches
Raynaud's Phenomenon, Hypertension, Anal Fissures, Esophageal Spasms, Achalasia
Nystatin 100,000 Units Troche
Oral Thrush, Candidiasis, Candida Albicans Infection, Fungal Infection, Yeast Infection
Nystatin 200 000 IU Oral Troches
Oral Candidiasis, Denture Stomatitis, Angular Cheilitis, Chronic Mucocutaneous Candidiasis, Median Rhomboid Glossitis
Nystatin 200,000 Units Troche
Oral Thrush, Candidiasis, Candida Albicans Infection, Oral Candidiasis, Angular Cheilitis
Oxycodone HCl 5 mg Troche
Chronic Pain, Cancer Pain, Arthritis Pain, Neuropathic Pain, Fibromyalgia Pain
Phenol 1.4%/Menthol 0.12%Â Troche
Sore Throat, Cough, Nasal Congestion, Bronchitis, Asthma
Pilocarpine HCl 2 mg Polyglycol Troche
Glaucoma, Xerostomia, Sjogren's Syndrome, Keratoconjunctivitis Sicca, Dry Eye Syndrome
Pilocarpine HCl 20 mg Oral Troches
Xerostomia, Sjögren's Syndrome, Radiation-Induced Dry Mouth, Dry Mouth After Surgery, Glaucoma
Piroxicam 40 mg Troches
Osteoarthritis, Rheumatoid Arthritis, Ankylosing Spondylitis, Acute Pain, Dysmenorrhea
Potassium Chloride 2.68 meq Troche
Hypokalemia, Hyperkalemia, Hypomagnesemia, Hypermagnesemia, Hypocalcemia
Povidone Iodine 5 mg Troches
Oral Thrush, Sore Throat, Oral Infections, Gingivitis, Mouth Ulcers
Pregnenolone 100 mg Sublingual Troches
Adrenal Insufficiency, Hormone Imbalance, Chronic Fatigue Syndrome, Cognitive Dysfunction, Autoimmune Disorders
Progesterone 100 mg Troche
Endometriosis, Uterine Fibroids, Polycystic Ovary Syndrome, Amenorrhea, Dysmenorrhea
Progesterone 100 mg Troche
Endometriosis, Uterine Fibroids, Amenorrhea, Polycystic Ovary Syndrome, Menopausal Symptoms
Progesterone 175 mg Troche
Endometriosis, Uterine Fibroids, Polycystic Ovary Syndrome, Menopausal Symptoms, Amenorrhea
Progesterone 200 mg Troche
Endometriosis, Uterine Fibroids, Polycystic Ovary Syndrome, Amenorrhea, Dysmenorrhea
Progesterone 200 mg Troche
Endometriosis, Uterine Fibroids, Amenorrhea, Dysfunctional Uterine Bleeding, Polycystic Ovary Syndrome
Progesterone 25 mg Troche
Endometriosis, Uterine Fibroids, Amenorrhea, Dysmenorrhea, Polycystic Ovary Syndrome
Progesterone 25 mg Troche
Endometriosis, Amenorrhea, Uterine Bleeding, Dysfunctional Uterine Bleeding, Infertility
Progesterone 300 mg Troche
Endometriosis, Uterine Fibroids, Amenorrhea, Dysfunctional Uterine Bleeding, Polycystic Ovary Syndrome
Progesterone 50 mg Troche
Endometriosis, Uterine Fibroids, Amenorrhea, Polycystic Ovary Syndrome, Menopausal Symptoms
Progesterone 50 mg Troche
Endometriosis, Uterine Fibroids, Polycystic Ovary Syndrome, Amenorrhea, Dysmenorrhea
Progesterone 75 mg Troche
Endometriosis, Uterine Fibroids, Polycystic Ovary Syndrome, Menopausal Symptoms, Amenorrhea
Promethazine HCl 12.5 mg Troche
Allergic Rhinitis, Nausea, Vomiting, Motion Sickness, Insomnia
Promethazine HCl 25 mg Troche
Allergic Rhinitis, Nausea, Vomiting, Insomnia, Motion Sickness
Promethazine HCl 5 mg Troche
Allergic Rhinitis, Nausea, Vomiting, Motion Sickness, Insomnia
Promethazine HCl 50 mg Troche
Allergic Rhinitis, Nausea, Vomiting, Motion Sickness, Insomnia
Propranolol HCl 20 mg Troche
Hypertension, Migraine, Anxiety, Tremors, Angina
Pyridoxine HCl 10 mg Troche
Pyridoxine Deficiency, Anemia, Nausea, Vomiting, Seizures
Pyridoxine HCl 5 mg Troche
Vitamin B6 Deficiency, Anemia, Seizures, Nausea, Neuropathy
Pyridoxine HCl 5 mg/Thiamine HCl 10 mg Troche
Beriberi, Wernicke-Korsakoff Syndrome, Pyridoxine Deficiency, Thiamine Deficiency, Neuropathy.
Scopolamine Hydrobromide 0.4 mg Oral Troche
Motion Sickness, Postoperative Nausea and Vomiting, Chemotherapy-Induced Nausea and Vomiting, Parkinson's Disease, Irritable Bowel Syndrome
Sildenafil 100 mg Troche
Sildenafil 20 mg Oral Troches
Erectile Dysfunction, Pulmonary Arterial Hypertension, Raynaud's Phenomenon, High-Altitude Pulmonary Edema, Heart Disease
Sildenafil 20 mg Troche
Erectile Dysfunction, Pulmonary Hypertension, Raynaud's Syndrome, Peyronie's Disease, Priapism
Sildenafil 25 mg Troche
Sildenafil 50 mg Troche
Sodium Chloride 8.8 mg/Calcium Chloride 3.4 mg/Potassium Chloride 3.1 mg Troche
Hyponatremia, Hyperkalemia, Hypercalcemia, Hypocalcemia, Hypokalemia
Sodium Hyaluronate 200 mg Oral Troches
Dry Mouth Syndrome, Oral Mucositis, Sjögren's Syndrome, Burning Mouth Syndrome, Graft-versus-Host Disease
Sorbitol 300 mg Troche
Xerostomia, Dysgeusia, Dysphagia, Sialorrhea, Dysphonia
Sulfamethoxazole 200 mg/Trimethoprim 40 mg Troche
Urinary Tract Infections, Acute Otitis Media, Bronchitis, Pneumonia, Sinusitis
Sulfamethoxazole 200 mg/Trimethoprim 80 mg Troche
Urinary Tract Infections, Acute Otitis Media, Bronchitis, Pneumonia, Traveler's Diarrhea
Tadalafil 10 mg Troche
Tadalafil 10 mg/Apomorphine HCl 2 mg Troche
Erectile Dysfunction, Parkinson's Disease, Hypoactive Sexual Desire Disorder, Hyperprolactinemia, Premature Ejaculation.
Tadalafil 10 mg/Sildenafil 25 mg Troche
Erectile Dysfunction, Pulmonary Hypertension, Benign Prostatic Hyperplasia, Priapism, Peyronie's Disease.
Tadalafil 2 mg Troche
Erectile Dysfunction, Pulmonary Hypertension, Benign Prostatic Hyperplasia, Raynaud's Syndrome, Interstitial Cystitis
Tadalafil 20 mg Troche
Tadalafil 20 mg/Pyridoxal-5-Phosphate 50 mg Troche
Erectile Dysfunction, Premenstrual Syndrome, Neuropathy, Depression, Anxiety.
Tadalafil 5 mg Troche
Terbutaline Sulfate 2.5 mg Troche
Asthma, Chronic Obstructive Pulmonary Disease, Bronchospasm, Bronchitis, Emphysema
Testosterone 1 mg Troche
Hypogonadism, Andropause, Klinefelter Syndrome, Primary Ovarian Insufficiency, Turner Syndrome
Testosterone 10 mg Troche
Hypogonadism, Andropause, Infertility, Klinefelter Syndrome, Turner Syndrome
Testosterone 10 mg Troche
Hypogonadism, Andropause, Male Infertility, Low Libido, Klinefelter Syndrome
Testosterone 2 mg Troche
Hypogonadism, Andropause, Infertility, Klinefelter Syndrome, Turner Syndrome
Testosterone 25 mg Troche
Hypogonadism, Andropause, Male Infertility, Low Libido, Klinefelter Syndrome
Testosterone 5 mg Troche
Hypogonadism, Andropause, Klinefelter Syndrome, Infertility, Hypoandrogenism
Testosterone 5 mg Troche
Hypogonadism, Andropause, Male Infertility, Low Libido, Klinefelter Syndrome
Tetracycline HCl 125 mg/Diphenhydramine HCl 12.5 mg/Nystatin 60,417 Units/Hydrocortisone 2.3 mg Troche
Oral Thrush, Candidiasis, Acne, Rosacea, Perioral Dermatitis
Tetracycline HCl 125 mg/Nystatin 100,000 Units/Diphenhydramine HCl 12.5 mg/Hydrocortisone 2.5 mg Troche
Oral Thrush, Candidiasis, Acne, Rosacea, Allergic Rhinitis
Thiamine HCl 100 mg Troche
Beriberi, Wernicke-Korsakoff Syndrome, Alcoholic Neuropathy, Thiamine Deficiency, Pyruvate Dehydrogenase Deficiency
Tretinoin 1 mg/Clobetasol Propionate 0.5 mg Troche
Acne, Psoriasis, Lichen Planus, Alopecia Areata, Vitiligo
Tropicamide 1 mg Troche
Glaucoma, Cataracts, Uveitis, Diabetic Retinopathy, Amblyopia
Valproic Acid 125 mg Troche
Epilepsy, Bipolar Disorder, Migraine, Schizophrenia, Mania
Vardenafil HCl 10 mg Troche
Vardenafil HCl 20 mg Troche
Previous
Next
2 / 3
Optimized for desktop use.
Please view on a larger screen.