Provider Portal

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USE OUR PROVIDER PORTAL TO EASILY ENTER ORDERS ONLINE

Our provider portal makes it easy to manage prescriptions.

Manage Refills
Adherence Monitoring
Direct Pharmacy Support
Reporting

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

Why Use Our Provider Portal?

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

Access a practice-specific drug catalog.

Select between patient ship or provider ship.

Provider Portal Sign Up

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)

Reduce Toxin Levels and Reverse Chronic Inflammation

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