USE OUR PRESCRIBER PORTAL TO EASILY ENTER ORDERS ONLINE

Our prescriber portal makes it easy to manage prescriptions.

Learn more about how the prescriber portal works to make prescribing compounded medications easy.

Quickly and easily submit prescriptions online, even without an EMR system.

Access a practice-specific drug catalog.

Select between patient ship or prescriber ship.

NOW ACCEPTING PATIENTS

Now offering MDLifespan’s physician-led PlasmaXchange™ TPE detox therapy — exclusively at Town & Country Compounding

Prescriber Name(Required)

Prescriber NPI(Required)

Prescriber License Number and State(Required)

Prescriber DEA number and State(Required)

Prescriber Email Associated with Licensing Numbers(Required)

Clinic Name(Required)

Clinic Address(Required)

City(Required)

ZIP / Postal Code(Required)

State(Required)

We are only licensed to fill and ship to these states.

Clinic Phone Number(Required)

Clinic Fax Number(Required)

Contact Name(Required)

First Last

Clinic Email(Required)

Which Medication(s) or category of medication(s) are you looking to prescribe through the provider portal?(Required)