Home
Prescribe
Your Order Form
Popular Order Forms
Formulas
Staff
Order Form w/ Formulas
Custom Order Form
Popular Order Forms
Send Order Forms
Formulas
Documents
Peptides
Assessments
Prescribers
Tutorials
Settings
My Account
Support
Log Out
1
Search for medications or formulations to prescribe.
2
Add it to
Your 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.
4-Aminopyridine 5 mg Oral Capsules
Multiple Sclerosis, Lambert-Eaton Syndrome, Downbeat Nystagmus, Neuromyelitis Optica, Spinal Cord Injury
5-Hydroxytryptophan 100 mg Oral Capsules (Gluten Free)
Depression, Anxiety, Sleep Disorders, Migraines, Fibromyalgia
5-Hydroxytryptophan 50 mg Oral Capsules
Depression, Anxiety, Sleep Disorders, Migraines, Fibromyalgia
5-Hydroxytryptophan 50 mg/100 mg Oral Capsules
Depression, Anxiety, Sleep Disorders, Fibromyalgia, Migraines
7-Keto-Dehydroepiandrosterone 10 mg Oral Capsules
Aging, Obesity, Immune System Disorders, Cognitive Decline, Chronic Fatigue Syndrome
7-Keto-Dehydroepiandrosterone 200 mg Oral Capsules
Aging, Obesity, Immune System Disorders, Heart Disease, Cognitive Decline
Acebutolol 250 mg Capsules
Hypertension, Angina, Arrhythmia, Heart Failure, Myocardial Infarction
Acebutolol 300 mg Capsules
Hypertension, Angina Pectoris, Arrhythmia, Myocardial Infarction, Heart Failure
Acetaminophen 100 mg/Hydrocodone Bitartrate 10 mg Oral Capsules
Chronic Pain, Postoperative Pain, Osteoarthritis, Back Pain, Cancer Pain
Acetaminophen 120 mg/Aspirin 210 mg/Caffeine 30 mg Capsules
Migraine, Tension Headache, Fever, Muscle Pain, Arthritis
Acetaminophen 160 mg/Caffeine 32.5 mg Oral Capsules
Pain Management, Fever Reduction, Migraine Relief, Tension Headache, Postoperative Pain Management
Acetaminophen 200 mg/Hydrocodone Bitartrate 10 mg Oral Capsules
Acute Pain, Chronic Pain, Postoperative Pain, Osteoarthritis, Cancer Pain
Acetaminophen 200 mg/Hydrocodone Bitartrate 15 mg Oral Capsules
Chronic Pain, Postoperative Pain, Osteoarthritis, Back Pain, Cancer Pain
Acetaminophen 200 mg/Hydrocodone Bitartrate 5 mg Oral Capsules
Acute Pain, Chronic Pain, Postoperative Pain, Osteoarthritis, Back Pain
Acetaminophen 200 mg/Hydrocodone Bitartrate 7.5 mg Oral Capsules
Acute Pain, Chronic Pain, Postoperative Pain, Osteoarthritis, Back Pain
Acetaminophen 250 mg/Acetylsalicylic Acid 150 mg/Caffeine 50 mg Oral Capsules
Migraine, Tension Headaches, Osteoarthritis, Menstrual Pain, Fever
Acetaminophen 250 mg/Caffeine 100 mg/Ergotamine Tartrate 1 mg/Prochlorperazine Maleate 4.05 mg Oral Capsules
Migraine, Tension Headaches, Cluster Headaches, Nausea and Vomiting, Postoperative Pain
Acetaminophen 325 mg/Caffeine 40 mg/Codeine Phosphate 30 mg/Phenobarbital 15 mg Capsules
Migraine, Tension Headache, Postoperative Pain, Severe Pain, Insomnia
Acetaminophen 325 mg/Chloral Hydrate 100 mg/Isometheptene Mucate 65 mg Capsules
Migraine, Tension Headache, Cluster Headache, Menstrual Cramps, Insomnia
Acetaminophen 325 mg/Chloral Hydrate 65 mg/Isometheptene Mucate 65 mg Capsules
Migraine, Tension Headache, Cluster Headache, Menstrual Cramps, Insomnia
Acetaminophen 325 mg/Chloral Hydrate 67 mg/Isometheptene Mucate 65 mg/Antipyrine 33 mg Capsules
Migraine, Tension Headache, Cluster Headache, Sinus Headache, Menstrual Headache
Acetaminophen 325 mg/Dichloralphenazone 100 mg/Isometheptene Mucate 65 mg Oral Capsules
Migraine, Tension Headache, Cluster Headache, Post-dural Puncture Headache, Sinus Headache
Acetaminophen 325 mg/Isometheptene 65 mg/Hydroxyzine HCl 25 mg Capsules
Migraine, Tension Headache, Anxiety, Hypertension, Insomnia
Acetaminophen 325 mg/Oxycodone HCl 5 mg Capsules
Chronic Pain, Arthritis, Migraine, Fibromyalgia, Sciatica
Acetaminophen 400 mg/Tramadol HCl 40 mg Oral Capsules
Moderate to Severe Pain, Osteoarthritis, Chronic Pain, Postoperative Pain, Rheumatoid Arthritis
Acetaminophen 50 mg/Hydrocodone Bitartrate 10 mg Oral Capsules
Chronic Pain, Postoperative Pain, Osteoarthritis, Back Pain, Cancer Pain
Acetaminophen 500 mg/Butalbital 50 mg Oral Capsules
Tension Headaches, Migraines, Muscle Contraction Headaches, Post-dural Puncture Headaches, Pain Management
Acetazolamide 125 mg Oral Capsules (Gluten Free)
Glaucoma, Altitude Sickness, Epilepsy, Edema, Metabolic Alkalosis
Acetyl-L-Carnitine HCl 300 mg Oral Capsules
Peripheral Neuropathy, Alzheimer's Disease, Depression, Chronic Fatigue Syndrome, Peyronie's Disease
Acetyl-L-Carnnitine HCl 500 mg Oral Capsules
Peripheral Neuropathy, Alzheimer's Disease, Depression, Chronic Fatigue Syndrome, Peyronie's Disease
Acetylcysteine 1200 mg Capsules
Chronic Obstructive Pulmonary Disease, Cystic Fibrosis, Acetaminophen Overdose, Chronic Bronchitis, Idiopathic Pulmonary Fibrosis
Acetylcysteine 245 mg Capsules
Bronchitis, COPD, Cystic Fibrosis, Acute Respiratory Distress Syndrome, Pneumonia
Acetylcysteine 250 mg/Edetate Disodium 500 mg Oral Capsules
Acute Paracetamol Overdose, Chronic Obstructive Pulmonary Disease, Cystic Fibrosis, Contrast-induced Nephropathy, Heavy Metal Poisoning
Acetylcysteine 400 mg/Pyridoxal-5-Phosphate 25 mg/Calcium L-5 Methyltetrahydrofolate 8 mg/Methylcobalamin 2 mg Capsules
Cystic Fibrosis, Chronic Obstructive Pulmonary Disease, Bronchiectasis, Alpha-1 Antitrypsin Deficiency, Asthma.
Acetylcysteine 435 mg Capsules
Bronchitis, COPD, Cystic Fibrosis, Acute Respiratory Distress Syndrome, Pneumonia
Acetylcysteine 600 mg Capsules
Chronic Bronchitis, COPD, Acute Bronchitis, Pneumonia, Cystic Fibrosis
Acetylcysteine 600 mg Oral Capsules (Gluten Free)
Chronic Obstructive Pulmonary Disease, Cystic Fibrosis, Acetaminophen Overdose, Pulmonary Fibrosis, Asthma
Acyclovir 200 mg Capsules (Gluten Free)
Herpes Simplex Virus, Varicella Zoster Virus, Genital Herpes, Shingles, Cold Sores
Acyclovir 200 mg Oral Capsules (Gluten Free)
Herpes Simplex Virus Infections, Varicella-Zoster Virus Infections, Genital Herpes, Chickenpox, Shingles
Acyclovir 333 mg Capsules
Herpes Simplex Virus, Varicella Zoster Virus, Genital Herpes, Shingles, Cold Sores
Acyclovir 400 mg Capsules (Gluten Free)
Herpes Simplex Virus, Varicella Zoster Virus, Genital Herpes, Shingles, Cold Sores
Acyclovir 400 mg Oral Capsules (Gluten Free)
Herpes Simplex Virus Infections, Varicella-Zoster Virus Infections, Genital Herpes, Chickenpox, Shingles
Acyclovir 5%/Imiquimod 2.5%/Tea Tree Oil 2.5%/Deoxy-D-Glucose
Herpes Simplex, Genital Warts, Molluscum Contagiosum, Actinic Keratosis, Basal Cell Carcinoma
Acyclovir 800 mg Oral Capsules (Gluten Free)
Herpes Simplex Virus Infections, Varicella-Zoster Virus Infections, Genital Herpes, Chickenpox, Shingles
Adenosyl Methionine 400 mg Oral Capsules
Depression, Osteoarthritis, Liver Disease, Fibromyalgia, Alzheimer's Disease
Albuterol 2 mg Capsules (Gluten Free)
Asthma, COPD, Bronchitis, Emphysema, Bronchiectasis
Albuterol 4 mg Capsules (Gluten Free)
Asthma, Chronic Obstructive Pulmonary Disease, Bronchitis, Emphysema, Cystic Fibrosis
Alpha Lipoic Acid 400 mg/7-Keto-Dehydroepiandrosterone 33.333 mg Oral Capsules
Peripheral Neuropathy, Diabetes, Obesity, Aging, Metabolic Syndrome
Alprazolam 1 mg/Sertraline 50 mg Oral Capsules
Anxiety Disorders, Depression, Panic Disorders, Obsessive-Compulsive Disorder, Post-Traumatic Stress Disorder
Aluminum Hydroxide 250 mg Capsules
GERD, Heartburn, Hyperacidity, Reflux, Dyspepsia
Aluminum Hydroxide 65 mg/Neomycin 17.5 mg/Methscopolamine Bromide 0.25 mg/Kaolin/Pectin Capsules (Vet)
Diarrhea, Gastroenteritis, Colitis, Intestinal Infections, Enteritis
Aluminum Hydroxide 80 mg/Cimetidine 1.2 mg Oral Capsules
Gastroesophageal Reflux Disease, Peptic Ulcer Disease, Zollinger-Ellison Syndrome, Gastritis, Esophagitis
Amantadine HCl 100 mg Capsules (Gluten Free)
Parkinson's Disease, Influenza, Multiple Sclerosis, Narcolepsy, Alzheimer's Disease
Amantadine HCl 25 mg Oral Capsules
Parkinson's Disease, Influenza A Virus Infection, Drug-Induced Extrapyramidal Symptoms, Fatigue in Multiple Sclerosis, Traumatic Brain Injury
Aminocaproic Acid 500 mg Oral Capsules (Gluten Free)
Bleeding Disorders, Hereditary Angioedema, Dental Surgery Complications, Hemophilia, Menorrhagia
Amitriptyline HCl 10 mg Oral Capsules (Gluten Free)
Depression, Neuropathic Pain, Migraine Prevention, Insomnia, Irritable Bowel Syndrome
Amitriptyline HCl 100 mg Oral Capsules (Gluten Free)
Depression, Neuropathic Pain, Migraine Prevention, Insomnia, Irritable Bowel Syndrome
Amitriptyline HCl 25 mg Capsules (Gluten Free)
Depression, Anxiety, Insomnia, Neuropathic Pain, Migraine
Amitriptyline HCl 5 mg Oral Capsules
Depression, Neuropathic Pain, Migraine Prevention, Insomnia, Irritable Bowel Syndrome
Amitriptyline HCl 50 mg Capsules (Gluten Free)
Depression, Anxiety, Insomnia, Neuropathic Pain, Migraine
Amitriptyline HCl 75 mg Capsules (Gluten Free)
Depression, Anxiety, Insomnia, Neuropathic Pain, Migraine
Amphotericin B 125 mg Oral Capsules
Fungal Infections, Aspergillosis, Cryptococcal Meningitis, Leishmaniasis, Candidiasis
Amphotericin B 25 mg/Nystatin 250 000 IU Oral Capsules
Fungal Infections, Oral Thrush, Candidiasis, Aspergillosis, Cryptococcosis
Amphotericin B 250 mg Capsules
Candidiasis, Aspergillosis, Cryptococcosis, Histoplasmosis, Coccidioidomycosis
Anastrozole 0.1 mg Capsules
Breast Cancer, Endometrial Cancer, Uterine Cancer, Prostate Cancer, Ovarian Cancer
Anastrozole 0.1 mg Oral Capsules
Breast Cancer, Ovarian Cancer, Endometrial Cancer, Infertility, McCune-Albright Syndrome
Anastrozole 0.1 mg/Clomiphene Citrate 12.5 mg/Pregnenolone 5 mg Oral Capsules
Hormone Imbalance, Infertility, Breast Cancer, Polycystic Ovary Syndrome, Menopause Symptoms
Anastrozole 0.25 mg Capsules
Breast Cancer, Endometrial Cancer, Uterine Cancer, Prostate Cancer, Ovarian Cancer
Anastrozole 0.5 mg Oral Capsules
Breast Cancer, Ovarian Cancer, Endometrial Cancer, Infertility, McCune-Albright Syndrome
Anastrozole 1 mg Oral Capsules (Gluten Free)
Breast Cancer, Ovarian Cancer, Endometrial Cancer, Infertility, McCune-Albright Syndrome
Anastrozole 1.5 mg Oral Capsules
Breast Cancer, Ovarian Cancer, Endometrial Cancer, Prostate Cancer, Infertility
Apomorphine HCl 1 mg/Phentolamine Mesylate 2 mg/Tadalafil 10 mg Oral Capsules
Erectile Dysfunction, Parkinson's Disease, Hypertension, Raynaud's Disease, Pheochromocytoma
Apomorphine HCl 1 mg/Phentolamine Mesylate 2 mg/Tadalafil 20 mg Oral Capsules
Erectile Dysfunction, Parkinson's Disease, Hypertension, Raynaud's Disease, Pulmonary Arterial Hypertension
Apomorphine HCl 3 mg Ophthalmic Nonsterile Capsules (Vet)
Glaucoma, Uveitis, Cataracts, Keratoconjunctivitis, Corneal Ulcer
Arginine 375 mg Oral Capsules
Growth Hormone Deficiency, Erectile Dysfunction, High Blood Pressure, Heart Disease, Migraines
Arginine 800 mg Oral Capsules
Growth Hormone Deficiency, Erectile Dysfunction, High Blood Pressure, Heart Disease, Migraines
Arginine HCl 700 mg Capsules
Erectile Dysfunction, Hypertension, Congestive Heart Failure, Intermittent Claudication, Chronic Kidney Disease
Arginine HCl 750 mg Capsules
Erectile Dysfunction, Hypertension, Congestive Heart Failure, Intermittent Claudication, Chronic Kidney Disease
Aspirin 325 mg Capsules (Gluten Free)
Migraine, Arthritis, Fever, Pain, Inflammation
Aspirin 325 mg/Methocarbamol 400 mg Capsules
Pain Relief, Muscle Spasms, Arthritis, Back Pain, Headache
Aspirin 380 mg/Caffeine 30 mg/Codeine Phosphate 30 mg Capsules
Tension Headache, Migraine, Post-Surgical Pain, Arthritis Pain, Dental Pain
Aspirin 385 mg/Caffeine 30 mg/Orphenadrine Citrate 25 mg Capsules
Migraine, Tension Headache, Muscle Spasm, Fibromyalgia, Sciatica
Atenolol 100 mg Capsules (Gluten Free)
Hypertension, Angina, Arrhythmia, Myocardial Infarction, Migraine Prevention
Atenolol 12.5 mg Capsules
Hypertension, Angina, Myocardial Infarction, Arrhythmia, Heart Failure
Atenolol 25 mg Capsules (Gluten Free)
Hypertension, Angina, Heart Failure, Arrhythmia, Myocardial Infarction
Atenolol 50 mg Capsules (Gluten Free)
Hypertension, Angina, Arrhythmia, Myocardial Infarction, Migraine Prevention
Atenolol 50 mg Capsules (Gluten Free)
Hypertension, Angina, Heart Failure, Arrhythmia, Myocardial Infarction
Azathioprine 50 mg Capsules (Gluten Free)
Ulcerative Colitis, Crohn's Disease, Rheumatoid Arthritis, Lupus, Multiple Sclerosis
Azathioprine 8 mg Oral Capsules
Rheumatoid Arthritis, Crohn's Disease, Ulcerative Colitis, Systemic Lupus Erythematosus, Organ Transplant Rejection
Azithromycin 25 mg Oral Capsules
Bacterial Pneumonia, Chlamydia Infection, Skin Infection, Ear Infection, Sinusitis
Azithromycin 40 mg Oral Capsules
Bacterial Pneumonia, Chlamydia Infection, Skin Infections, Sinusitis, Strep Throat
Azithromycin 50 mg Capsules
Chlamydia, Bronchitis, Pneumonia, Sinusitis, Ear Infection
Belladonna Extract 10 mg/Caffeine Citrate 100 mg/Ergotamine Tartrate 1 mg/Acetaminophen 250 mg Capsules
Migraine, Cluster Headache, Tension Headache, Refractory Headache, Vascular Headache
Betahistine Dihydrochloride 12 mg Capsules
Meniere's Disease, Vestibular Neuritis, Labyrinthitis, Vertigo, Tinnitus
Betahistine Dihydrochloride 16 mg Capsules
Meniere's Disease, Vestibular Neuritis, Labyrinthitis, Acoustic Neuroma, Vertigo.
Betahistine Dihydrochloride 4 mg Capsules
Meniere's Disease, Vestibular Neuritis, Labyrinthitis, Vertigo, Tinnitus
Betahistine Dihydrochloride 8 mg Capsules
Meniere's Disease, Vestibular Neuritis, Labyrinthitis, Vertigo, Tinnitus
Betahistine HCl 16 mg Oral Capsules
Meniere's Disease, Vertigo, Tinnitus, Balance Disorders, Nausea and Vomiting
Betahistine HCl 24 mg Oral Capsules
Meniere's Disease, Vertigo, Tinnitus, Balance Disorders, Nausea and Vomiting
Betahistine HCl 8 mg Oral Capsules
Meniere's Disease, Vertigo, Tinnitus, Balance Disorders, Nausea and Vomiting
Next
1 / 7
Optimized for desktop use.
Please view on a larger screen.