Cart

Remove item Thumbnail image Product Price Quantity Subtotal
× Designs For Health Whole Body Collagen Designs For Health Whole Body Collagen $65.00
$130.00
× Pro-Balance Pro-Hair Pro-Balance Pro-Hair $31.99
$63.98
× RevitaLash Regenesis Thickening Shampoo RevitaLash Regenesis Thickening Shampoo $38.00
$76.00
× EltaMD UV Skin Recovery Broad Spectrum SPF 50 Face Sunscreen EltaMD UV Skin Recovery Broad Spectrum SPF 50 Face Sunscreen $50.00
$100.00
× Ortho Molecular InflammaCORE Vanilla Chai Ortho Molecular InflammaCORE Vanilla Chai $83.20
$166.40
× Metagenics HerWellness Naturally Balanced Metagenics HerWellness Naturally Balanced $44.00
$88.00
× Renue By Science NAD+ Complete | The Ultimate Cellular Health Formula Renue By Science NAD+ Complete | The Ultimate Cellular Health Formula $90.00
$90.00
× Pro-Balance Pro-Creatine Pro-Balance Pro-Creatine $36.99
$36.99

Cart Totals

Subtotal $751.37
Tax $0.00
Total $751.37
Secret Link

ATTENTION!

YOUR FORM IS NOT SUBMITTED

To submit your order, click the “PRINT/SAVE” button located under this pop-up. 

You can save the PDF to your computer to fax at a later date or print it now to fax immediately.  

Fax your order form to 817-860-6083 for processing.

Provider Access Required Create a provider account to view the full resource library, including the drug catalog, order forms and more.

New to Pharmacy Solutions? Register now