Schedule a Call Role(Required)PhysicianOffice staff memberPatient who needs assistance Please contact our customer service by calling 1-833-204-9917 or by filling out our contact form here. Name(Required) First Last Practice Name(Required)Email(Required) Phone(Required)State(Required)ALAKAZARCACOCTDCDEFLGAHIIDILINIAKSKYLAMEMDMAMIMNMSMOMTNENVNHNJNMNYNCNDOHOKORPARISCSDTNTXUTVTVAWAWVWIWYWhich medication(s) are you interested in? PRED+MOXI+BROM 5ML PRED+MOXI+BROM 8ML ATROPINE+ 0.01% 3.5ML ATROPINE+ 0.025% 3.5ML ATROPINE+ 0.05% 3.5ML BRIM+DOR 2ML MOXI+BROM 5ML PRED+MOXI 5ML PRED+MOXI+KETOR 8ML PRED+BROM 5ML TIM+BIM 5ML TIM+BRIM+DOR 5ML TIM+BRIM+DOR+BIM 5ML TROP+PHEN 2ML How will you be ordering medications? (Select all that apply)(Required) Bulk Prescription CommentsThis field is for validation purposes and should be left unchanged. Δ
