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.
5-Hydroxytryptophan 5 mg Oral Sublingual Troche
Depression, Anxiety, Insomnia, Fibromyalgia, Migraines
7-Keto-DHEA 50 mg Oral Troches
Weight Management, Aging, Immune System Support, Cognitive Function Improvement, Stress Management
Acetaminophen 125 mg Troche
Headache, Fever, Arthritis, Muscle Pain, Cold Symptoms
Acetaminophen 225 mg Oral Troche
Pain Management, Fever Reduction, Osteoarthritis, Postoperative Pain Control, Migraine Headaches
Acetazolamide 250 mg Troche
Glaucoma, Epilepsy, Altitude Sickness, Meniere's Disease, Hydrocephalus
Acyclovir 100 mg Polyglycol Troche
Herpes Simplex, Varicella Zoster, Genital Herpes, Meningitis, Cytomegalovirus
Amlodipine 10 mg Troche
Hypertension, Coronary Artery Disease, Angina, Raynaud's Syndrome, Chronic Kidney Disease
Amphotericin B 10 mg Troche
Candidiasis, Aspergillosis, Cryptococcosis, Histoplasmosis, Coccidioidomycosis
Amphotericin B 100 mg Troche
Candidiasis, Aspergillosis, Cryptococcosis, Histoplasmosis, Coccidioidomycosis
Amphotericin B 50 mg Troche
Candidiasis, Aspergillosis, Cryptococcosis, Histoplasmosis, Coccidioidomycosis
Anastrozole 0.1 mg Polyglycol Troche
Breast Cancer, Endometrial Cancer, Prostate Cancer, Uterine Cancer, Ovarian Cancer
Anastrozole 0.5 mg Oral Troche
Breast Cancer, Ovarian Cancer, Endometrial Cancer, Infertility, McCune-Albright Syndrome
Anastrozole 0.5 mg/Clomiphene Citrate 25 mg Oral Troche
Breast Cancer, Infertility, Ovarian Hyperstimulation Syndrome, Polycystic Ovary Syndrome, Male Hypogonadism
Apomorphine HCl 2 mg Oral Troche
Parkinson's Disease, Erectile Dysfunction, Hypotension, Gastroparesis, Opioid Overdose
Apomorphine HCl 2 mg Polyglycol Troche
Parkinson's Disease, Dyskinesia, Hypersexuality, Impulse Control Disorders, Tourette Syndrome
Apomorphine HCl 3 mg Oral Polyglycol Troche
Parkinson's Disease, Dyskinesia, Hypersexuality, Impulse Control Disorders, Tourette Syndrome
Apomorphine HCl 3 mg Troche
Parkinson's Disease, Dyskinesia, Restless Leg Syndrome, Hypersexuality, Impulse Control Disorder
Apomorphine HCl 3 mg/Sildenafil 25 mg Oral Troche
Erectile Dysfunction, Parkinson's Disease, Hypotension, Raynaud's Disease, Altitude Sickness
Ascorbic Acid 250 mg Polyglycol Troche
Scurvy, Vitamin C Deficiency, Iron Deficiency Anemia, Hypovitaminosis C, Chronic Fatigue Syndrome
Atomoxetine 18 mg Oral Troche
Attention Deficit Hyperactivity Disorder, Anxiety Disorder, Depression, Narcolepsy, Binge Eating Disorder
Atropine Sulfate 1 mg Troche
Bradycardia, Glaucoma, Gastroparesis, Urinary Retention, Asthma
Baclofen 5 mg Troche
Spasticity, Multiple Sclerosis, Cerebral Palsy, Alcoholism, Tourette Syndrome
Benzocaine 2%/Menthol 0.2%/Thymol 0.2% Troche
Oral Thrush, Canker Sores, Cold Sores, Oral Ulcers, Gingivitis
Benzocaine 62.5 mg Troches
Oral Pain, Sore Throat, Dental Pain, Mouth Ulcers, Pharyngitis
Budesonide 1 mg Troche
Asthma, Allergic Rhinitis, Crohn's Disease, Ulcerative Colitis, Eosinophilic Esophagitis
Buprenorphine 0.1 mg Troches
Chronic Pain, Opioid Dependence, Neuropathic Pain, Fibromyalgia, Anxiety Disorders
Buprenorphine 0.4 mg Troche
Opioid Dependence, Chronic Pain, Severe Pain, Cancer Pain, Neuropathic Pain
Buprenorphine 0.43 mg Troche
Opioid Dependence, Chronic Pain, Anxiety, Depression, Insomnia
Buprenorphine HCl 2 mg Oral Troche
Opioid Dependence, Chronic Pain, Opioid Withdrawal, Neuropathic Pain, Opioid Overdose
Buprenorphine HCl 2 mg/Naloxone HCl Dihydrate 0.5 mg Troches
Opioid Use Disorder, Opioid Dependence, Opioid Addiction, Chronic Pain, Opioid Withdrawal.
Buprenorphine HCl 6 mg Troches
Opioid Use Disorder, Chronic Pain, Acute Pain, Opioid Dependence, Pain Management
Buprenorphine HCl 8.84 mg Oral Troche
Opioid Dependence, Chronic Pain, Opioid Withdrawal, Neuropathic Pain, Postoperative Pain
Capsaicin 0.25 mg Troche
Neuralgia, Arthritis, Fibromyalgia, Neuropathy, Migraine
Carbamazepine 100 mg Troche
Epilepsy, Bipolar Disorder, Trigeminal Neuralgia, Neuropathic Pain, Schizoaffective Disorder
Carbamazepine 200 mg Troche
Epilepsy, Bipolar Disorder, Trigeminal Neuralgia, Neuropathic Pain, Schizoaffective Disorder
Chlorhexidine Gluconate 1.8%/Fluoride 0.25 mg Troche
Gingivitis, Periodontal Disease, Dental Caries, Halitosis, Oral Candidiasis
Chrysin 50 mg/Dehydroepiandrosterone 15 mg/Prosgesterone 10 mg/Testosterone 150 mg Oral Troche
Hormone Imbalance, Andropause, Menopause, Hypogonadism, Chronic Fatigue Syndrome
Clomiphene Citrate 2%/Testosterone 2% Troche
Hypogonadism, Male Infertility, Low Testosterone, Erectile Dysfunction, Hormonal Imbalance.
Clomipramine HCl 10 mg Oral Troches
Obsessive-Compulsive Disorder, Panic Disorder, Major Depressive Disorder, Chronic Pain, Premature Ejaculation
Clonazepam 0.25 mg Troches
Anxiety Disorders, Panic Disorder, Seizure Disorders, Restless Legs Syndrome, Sleep Disorders
Clonazepam 0.5 mg Troche
Anxiety, Panic Disorder, Seizure Disorders, Insomnia, Tourette Syndrome
Clonidine HCl 6.25 mcg Troche
Hypertension, ADHD, Anxiety, Menopausal Hot Flashes, Migraine
Clotrimazole 100 mg Oral Troches
Oral Thrush, Esophageal Candidiasis, Prevention of Oral Candidiasis, Angular Cheilitis, Denture Stomatitis
Codeine Phosphate 10 mg Troche
Cough, Pain, Dyspnea, Dysphagia, Dysuria
Coenzyme Q10 200 mg Troches
Heart Failure, Hypertension, Migraine, Parkinson's Disease, Statin-Induced Myopathy
Coenzyme Q10 50 mg Troches
Heart Failure, Hypertension, Migraine, Parkinson's Disease, Statin-Induced Myopathy
Cyanocobalamin 100 mcg Troche
Pernicious Anemia, Megaloblastic Anemia, Vitamin B12 Deficiency, Neuropathy, Leber's Disease
Cyanocobalamin 1000 mcg Troche
Pernicious Anemia, Megaloblastic Anemia, Vitamin B12 Deficiency, Neuropathy, Leber's Disease
Cyanocobalamin 2000 mcg Troche
Pernicious Anemia, Megaloblastic Anemia, Vitamin B12 Deficiency, Neuropathy, Leber's Disease
Cyclobenzaprine HCl 10 mg Troche
Fibromyalgia, Muscle Spasm, Neck Pain, Back Pain, Sciatica
Dehydroepiandrosterone 200 mg Oral Troches
Adrenal Insufficiency, Menopausal Symptoms, Sexual Dysfunction, Depression, Chronic Fatigue Syndrome
Dehydroepiandrosterone 25 mg Troche
Adrenal Insufficiency, Menopause, Andropause, Hypogonadism, Osteoporosis
Dehydroepiandrosterone 5 mg Troche
Adrenal Insufficiency, Menopause, Andropause, Hypogonadism, Osteoporosis
Dehydroepiandrosterone 50 mg Oral Troche
Adrenal Insufficiency, Menopausal Symptoms, Sexual Dysfunction, Depression, Chronic Fatigue Syndrome
Dehydroepiandrosterone 60 mg Oral Troches
Adrenal Insufficiency, Menopausal Symptoms, Sexual Dysfunction, Depression, Chronic Fatigue Syndrome
Dextromethorphan HBr 25 mg Troche
Cough, Bronchitis, Asthma, Common Cold, Allergic Rhinitis
Dextromethorphan HBr 30 mg Troche
Cough, Bronchitis, Asthma, Common Cold, Allergic Rhinitis
Diazepam 10 mg Troche
Anxiety, Insomnia, Seizures, Muscle Spasms, Alcohol Withdrawal
Diazepam 2.5 mg Troche
Anxiety, Insomnia, Seizures, Muscle Spasms, Panic Disorder
Dihydroergotamine Mesylate 5 mg/Metoclopramide 5 mg Troche
Migraine, Cluster Headache, Gastroparesis, Cyclic Vomiting Syndrome, Gastroesophageal Reflux Disease
Doxylamine Succinate 10 mg/Pyridoxine HCl 10 mg Troche
Insomnia, Nausea, Vomiting, Morning Sickness, Heartburn.
Doxylamine succinate 10 mg/Pyridoxine HCl 10 mg Oral Troches
Nausea and Vomiting in Pregnancy, Sleep Disorders, Allergic Rhinitis, Urticaria, Motion Sickness
EGCG 50 mg Troche
Cancer, Diabetes, Obesity, Hypertension, Alzheimer's Disease
Ephedrine Sulfate 7.5 mg/Atropine Sulfate 0.15 mg Troche
Bronchial Asthma, Chronic Obstructive Pulmonary Disease, Allergic Rhinitis, Bronchospasm, Urinary Incontinence.
Ergotamine Tartrate 2 mg Troche
Migraine, Cluster Headache, Menstrual Migraine, Postdural Puncture Headache, Tension Headache
Erythromycin 200 mg Troche
Acne, Bronchitis, Pneumonia, Sinusitis, Otitis Media
Estradiol 0.1 mg Oral Troches
Menopause Symptoms, Hormone Replacement Therapy, Osteoporosis, Primary Ovarian Insufficiency, Female Hypogonadism
Estradiol 0.1 mg/Estriol 0.4 mg/Progesterone 175 mg/Testosterone 2 mg Oral Troche
Menopause, Hormone Deficiency, Perimenopause, Postmenopausal Symptoms, Andropause
Estradiol 0.25 mg/ Estriol 0.25 mg/ Progesterone 50 mg Oral Troche
Menopause Symptoms, Hormone Replacement Therapy, Estrogen Deficiency, Progesterone Deficiency, Perimenopause
Estradiol 0.25 mg/Estriol 1 mg Oral Troche
Menopause Symptoms, Hormone Replacement Therapy, Osteoporosis, Vaginal Atrophy, Hypoestrogenism
Estradiol 0.25 mg/Progesterone 25 mg Oral Troche
Menopause Symptoms, Hormone Replacement Therapy, Estrogen Deficiency, Progesterone Deficiency, Perimenopause Management
Estradiol 0.4 mg/Estriol 1.6 mg/Progesterone 300 mg/Testosterone 1 mg Oral Troches
Menopause, Hormone Deficiency, Postmenopausal Symptoms, Andropause, Osteoporosis
Estradiol 0.5 mg Troche
Menopause, Osteoporosis, Hypogonadism, Uterine Fibroids, Vaginal Atrophy
Estradiol 1 mg/Progesterone 100 mg Oral Sublingual Troches
Menopause Symptoms, Hormone Replacement Therapy, Estrogen Deficiency, Progesterone Deficiency, Perimenopause Management
Estradiol 1 mg/Progesterone 175 mg/Testosterone 1.25 mg Oral Troche
Menopause Symptoms, Hormone Imbalance, Androgen Deficiency, Perimenopause, Postmenopausal Osteoporosis
Estradiol 1.25 mg/Progesterone 200 mg Oral Troche
Menopause Symptoms, Hormone Replacement Therapy, Estrogen Deficiency, Progesterone Deficiency, Perimenopause Management
Estradiol 2.8 mg/Estriol 1.2 mg/Testosterone 2.5 mg Oral Troches
Menopause Symptoms, Hormone Deficiency, Andropause, Sexual Dysfunction, Osteoporosis
Estriol 1 mg/Estradiol 0.25 mg Oral Troches
Menopause Symptoms, Hormone Replacement Therapy, Osteoporosis, Vaginal Atrophy, Hypoestrogenism
Estriol 1.0 mg/Estradiol 0.25 mg Oral Sublingual Troches
Menopause Symptoms, Hormone Replacement Therapy, Osteoporosis Prevention, Urogenital Atrophy, Vasomotor Symptoms
Estriol 1.2 mg/Estradiol 0.3 mg Oral Sublingual Troches
Menopause, Hormone Deficiency in Women, Osteoporosis, Vaginal Atrophy, Hypoestrogenism
Estriol 1.6 mg/Estradiol 0.4 mg Oral Sublingual Troches
Menopause Symptoms, Hormone Replacement Therapy, Osteoporosis, Vaginal Atrophy, Primary Ovarian Insufficiency
Estriol 2 mg Oral Troche
Menopausal Symptoms, Atrophic Vaginitis, Osteoporosis, Female Sexual Dysfunction, Hormone Imbalance
Estriol 2.4 mg/Estradiol 0.6 mg/Progesterone 25 mg Oral Sublingual Troches
Menopause, Hormone Deficiency, Osteoporosis, Vasomotor Symptoms, Atrophic Vaginitis
Estriol/Estradiol [80%-20%] 1 - 2.5 mg/Progesterone 100 - 200 mg Troche
Menopausal Symptoms, Endometriosis, Uterine Fibroids, Polycystic Ovary Syndrome, Postmenopausal Osteoporosis
Estriol/Estradiol [80%-20%] 1.25 mg/ml - 5 mg/ml Topical Gelstriol/Estradiol [50%/50%] 0.5-1 mg/Progesterone 50-200 mg Troche
Vaginal Atrophy, Menopause, Uterine Fibroids, Endometriosis, Polycystic Ovary Syndrome.
Estriol/Estradiol/Estrone [80%-10%-10%] 0.625-2.5 mg Troche
Menopausal Symptoms, Osteoporosis, Uterine Prolapse, Vaginal Atrophy, Dyspareunia.
Estriol/Estradiol/Estrone [80%-10%-10%] 0.625-2.5 mg/Progesterone 50-100 mg/Testosterone 0.125-2 mg Troche
Menopausal Symptoms, Endometriosis, Uterine Fibroids, Polycystic Ovary Syndrome, Hypogonadism.
Fentanyl 100 Mcg Troche
Chronic Pain, Cancer Pain, Neuropathic Pain, Postoperative Pain, Breakthrough Pain
Fentanyl 17 Mcg Troche
Chronic Pain, Cancer Pain, Neuropathic Pain, Postoperative Pain, Breakthrough Pain
Fentanyl 200 Mcg Troche
Chronic Pain, Cancer Pain, Neuropathic Pain, Postoperative Pain, Breakthrough Pain
Fentanyl Citrate 1 mg Oral Troches
Chronic Pain, Cancer-Related Pain, Breakthrough Pain, Severe Spinal Pain, Neuropathic Pain
Fentanyl Citrate 2 mg Oral Troches
Chronic Pain, Cancer-Related Pain, Breakthrough Pain, Severe Spinal Pain, Neuropathic Pain
Fentanyl Citrate 800 mcg Oral Troches
Chronic Pain, Cancer-Related Pain, Breakthrough Pain, Severe Spinal Pain, Neuropathic Pain
Fluconazole 75 mg Polyglycol Troche
Candidiasis, Cryptococcal Meningitis, Fungal Endocarditis, Oropharyngeal Candidiasis, Vulvovaginal Candidiasis
Gabapentin 100 mg Oral Troche
Neuropathic Pain, Postherpetic Neuralgia, Fibromyalgia, Diabetic Neuropathy, Restless Legs Syndrome
Gabapentin 250 mg Oral Troche
Neuropathic Pain, Postherpetic Neuralgia, Fibromyalgia, Diabetic Neuropathy, Restless Legs Syndrome
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
Next
1 / 2
Optimized for desktop use.
Please view on a larger screen.