CALL US AT (844) 446-6979 OR TEXT US AT (858) 264-2082 to Speak to Customer Service
CALL US AT (844) 446-6979 OR TEXT US AT (858) 264-2082 to Speak to Customer Service
From our 503A Patient Specific Pharmacy
Preservative-Free (no BAK)
Patent-pending formulation
240 day expiration dating**
100% low-price guarantee†
Automatic refills
Locate the Pharmacy
in the State of New Jersey:
ImprimisRx NJ, LLC I705 Route 46, Suite 4, Ledgewood, NJ 07852, (866) 792-7328
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 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
Easy online prescribing. Order status visibility. Orders ship within 24 hours.
If you have an account, click below to prescribe or register:
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
