Trimix Order/Refill Form

Use this page to upload new prescriptions, request refills for existing prescription or simply request more information. Our staff works diligently to provide prompt responded in real-time or within 1 business day. If you require immediate assistance please call the pharmacy at 954-367-5365.

DO YOU NEED A TRIMIX PRESCRIPTION?
DOWNLOAD THIS PRESCRIPTION FORM FOR YOUR PHYSICIAN TO COMPLETE.

 

CONTACT US FOR TRIMIX

Click or drag files to this area to upload. You can upload up to 4 files.
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