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Prescribing Online

From our 503A Patient Specific Pharmacy

  • Preservative-Free (no BAK)

  • Patent-pending formulation

  • 240 day expiration dating**

  • 100% low-price guarantee†

  • Automatic refills

3 Ways to Prescribe Atropine* For Your Patients

1
2
3

EMR: Easy as A, B, C

1
A

Locate the Pharmacy
in the State of New Jersey:

ImprimisRx NJ, LLC I705 Route 46, Suite 4, Ledgewood, NJ 07852, (866) 792-7328

B

Select Medication and Provide
Dosing Instructions

  • Search for Atropine from EMR list.
  • Select correct quantity/volume to be used.
  • Provide instructions for use (i.e., Instilldrop (s) into affected
    eyetimes a day).
C

Please Include in the Notes
to the Pharmacy Field

  • Dispense ImprimisRx Atropine Compound Needed only if information cannot be selected in EMR

  • Medical Necessity: (i.e., preservative-free, etc.) Please note: financial/economic reason is not valid *Required

  • Patient Allergies *Required

  • Ship to Patient or Doctor *Required

  • Bill to Patient or Doctor *Required

  • Date To Be Administered (DTBA) *Required

  • Start Date


CLICK HERE to download the EMR card and instructions

MaxRx Prescriber PortalTM

2

Easy online prescribing. Order status visibility. Orders ship within 24 hours.
If you have a MaxRx account, click below to prescribe or register:

Click Here To Prescribe Register

Fax

3

Download and complete the fax order form by Clicking this Link
Please include the following required information when placing your order:

  • Patient name, date of birth and address

  • Patient allergies

  • Formulation

  • Quantity and number of refills

  • Prescribing instructions

Medical Necessity (ie. patient cannot
tolerate commercial formulation, etc.).
Please note: financial/economic reason
is not valid