Provider Portal

Online Prescribing at Your Convenience

Use our Provider Portal to easily enter orders online!

STATES WE CURRENTLY SERVICE:

Arizona, Colorado, Connecticut, Delaware, Florida, Idaho, Illinois, Indiana, Iowa, Kentucky, Maine, Maryland, Michigan, Minnesota, Missouri, Montana, New Hampshire, New Jersey, New York, North Carolina, Ohio, Pennsylvania, Rhode Island, South Carolina, South Dakota, Vermont, Virginia, Washington, Wisconsin, and Wyoming.

Why Use Provider Portal?

Quickly and easily submit prescriptions online, even without an EMR system.

Access a practice-specific drug catalog.

Select between patient pay or provider pay.

Helpful Resources

How to create a
new patient

How to place an order using eRx

How to place a refill using eZRefill

Provider Portal Quick Guide

New? Sign Up in 3 Easy Steps:

Fill out the form below with your practice information.

Complete the required documents sent from our customer service manager via DocuSign.

Once completed, you will receive your login information and video tutorials on how to use the Provider Portal via email.

Provider Portal Sign Up

Clinic Name(Required)

Contact Name(Required)

First Last

Clinic Phone(Required)

Clinic Email(Required)

State / Province / Region(Required)

Current Service Areas: Arizona, Colorado, Connecticut, Delaware, Florida, Idaho, Illinois, Indiana, Iowa, Kentucky, Maine, Maryland, Michigan, Minnesota, Missouri, Montana, North Carolina, New Hampshire, New Jersey, New York, North Carolina, Ohio, Pennsylvania, Rhode Island, South Carolina, South Dakota, Vermont, Virginia, Wisconsin, and Wyoming.

Clinic Address(Required)

Street Address Address Line 2 City ZIP / Postal Code Country

Which Medication(s) or category of medication(s) are you looking to prescribe through the provider portal?(Required)

How did you hear about us?(Required)

Customer referral

Provider referral

Social media

Marketing email

Sales representative

Search engine

Newsletter

None of the above

Name

This field is for validation purposes and should be left unchanged.

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