First Name

Last Name

Phone

Prescription Upload

Which item(s) would you like to add to your order?* For products available in different quantities (e.g. 100 or 300 capsules) please let us know which size you would like.

I understand The Compounding Pharmacy requires the original paper prescription to legally dispense my item(s) *

I agree I will provide the original paper prescription as soon as possible by:*

Dropping it off at The Compouding Pharmacy when I pick up my products
Mailing it to The Compounding Pharmacy within 5 days of confirming my order
The Compounding Pharmacy already holds the original (I already provided it / My doctor ordered online)

Please print an official Pharmacy Tax Invoice so I can claim my item on my private health fund *

Thanks for getting in touch!

We appreciate you contacting us. One of our colleagues will get back in touch with you soon!

Have a great day!

Thanks for getting in touch!

We appreciate you contacting us. One of our colleagues will get back in touch with you soon!

Have a great day!

Prescription Order

Thanks for getting in touch!

Thanks for getting in touch!

Sign up and save!