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Protected: Ophthalmic Rx Order Form

How to send in Rx Order Forms

Medical practitioners can easily fax in this Rx Order Form to Town & Country Compounding.

Fax in printed Rx Order Form

Either fill Rx Order Form digitally, print and fax or print the blank form, write in information and fax.

FAX: 201-447-3253

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  • Call or Text: +12014472020
  • Toll Free: 800-850-2101
  • Fax: 201-447-3253
  • 535 East Crescent Ave Ramsey, NJ 07446
  • Monday to Friday 9am - 6pm Saturday & Sunday - Closed

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Call or Text with Questions 201-447-2020