Order Forms

Forms for specific needs are listed below for download. Please fill them out and send it to us via Fax.

Order Refills

To order prescription refills, simply fill out the secure online form below with your contact information, number of prescriptions, a method of retrieval, and any additional comments or questions you may have. 

If you need to speak with a pharmacy representative immediately, please call us at (305) 863-4277 or toll-free at 1-800-819.0751 to speak with one of our 24/7 on-call pharmacists.   

Get compounded medications filled in as little as 2 hours and pick-up your prescription on the same day! Place your order the day before and get your compounded meds delivered for free to your home the next day. 

New patient? 

Transfer your prescription now!

Online Order Refill Form