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.

 

 

Rx Request Form

Mon - Fri 9:00AM – 6:00PM
Saturday 9:00AM – 4:00PM
Sunday CLOSED
Emergency Hours 24/7

    Should We Email Instructions Regarding How to Electronically Prescribe a Compound?

    Name:

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    Specialty Form:

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