Fax A Prescription

Please feel free to write a prescription on your regular script pad and fax to:

Phone: 310-395-3294
Fax: 866-314-4845

Patient’s Name, Birthdate and Phone Number must be provided.

Example Rx:

Debacterol Unit Dose Swab Applicator
Sig: Use as directed in INSTRUCTIONS FOR USE provided
Number: 12
Refills: ___