Order Drugs Now

Order by Fax or Mail

If you would like to order medications by phone or fax, please download the form and fax it to 1-866-402-4033 and call us at 1-866-893-0369 to ensure that we have received it. Processing your prescription drug order in a timely and efficient manner is important to us. Please click on the download order form icon to begin the download process.

** Please note, if you do not have the Adobe Arcobat reader, you can download it from http://www.adobe.com/

If you have a slow connection, it may take a couple minutes to download the form.