DirectRX Pharmacy
 
Direct RX patient Resources
DirectRX
 
 

Medical Professional Resource Center

It is our goal at DirectRx to streamline the pharmacy process for healthcare professionals and for our mutual patients. The pharmacists at DirectRx work to provide you with an updated medication refill list well in advance to prevent a routine prescription refill from turning into an urgent situation.

For maintenance therapy, we will typically fax a preprinted form that will require just your signature. Downloadable blank forms are available below for any therapy changes or additions. Fax them to 1-877-699-6037 and we’ll do the rest.

RX pad

Rx Pad Blank

Diabetic testing Diabetic Testing Supplies Order Form
Orthopedic shoes Orthopedic/Diabetic Shoes Order Form
Diabetic testing

AF Gauntlet Order Form

Orthopedic shoes

Erecaid Order Form

 

To Non-Prescribing Professionals

If you would like to refer a patient to DirectRx, just fill out the Patient Referral Form,
fax it to us, and we’ll do the rest.

Diabetic testing

Patient Referral Form

 
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