Provider Rx Form Request

Home Provider Rx Form Request

We understand that writing a compound can be difficult. At Precision Compounding we provide as much support to our physicians as possible.

Each Form will contain our top 15-50 compounded formulations in that specialty. However, we can accommodate many formulations not shown on the request form. Please contact our friendly pharmacists directly at (516) 785-4774 Ext. 2 to discuss any off-form requests.

Mon - Fri 9:00AM – 7:30PM
Emergency Hours 24/7

Rx Request Form

    Should We Email Instructions Regarding How to Electronically Prescribe a Compound?
    Name:
    NPI Number:
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    Email Address:
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    Specialty Form:
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