Submit a Prescription

Please use the form below to send us your prescription. If you are a Licensed Institution, a prescription is not required. Please inform us if that is the case and we will make the necessary adjustments. We value your health and safety! Buying from a lawful and professionally licensed company provides added security that your product has not been tampered with or compromised. We look forward to serving you for many years to come. Thank you again!

Close Promotion Success! We have received your prescription! Thank you
Close Promotion Success! Thank you! We will contact your Doctor and process your order ASAP!

Please select an option below