TRIMIX Rx Upload

To upload your prescription is EASY! 

Step 1
Verify you have a valid prescription from a US physician.


Step 2
Have your physician complete the form below and upload scanned image of your prescription. Alternatively you can fax to 954-839-9039 or email it to

Trimix Order FormFor Physicians

Step 3

Complete the following form to contact us or upload a prescription/order form

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Acceptable file types: doc,docx,pdf,txt,gif,jpg,jpeg,png.
Maximum file size: 2mb.

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Zion Clinical Pharmacy verifies all prescriptions with prescribing physicians as well as validity of licenses including the DEA license. No controlled substances will be dispensed through this system! Zion Clinical Pharmacy will report suspicious elicit attempts to illegally access prescribed medication (in accordance to all rules and regulations).

By using this you are agreeing that you are the patient to whom the  rx was prescribed. Furthermore you certify the prescription was given to you by a licensed physician following a face to face visit where you were examined and furnished with the rx to treat a specific medical condition.

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