To be completed by a licensed doctor or doctor’s staff only. Please complete this account form to begin prescribing OMNI by OSRX® compounded drops.
Once submitted, we will contact you to discuss our formulations, pricing, prescriber portal, shipping and delivery options in greater detail. Thank you for your interest in OSRX®.
If you are a patient, call 855-466-1076 to speak with customer service.
IMPORTANT NOTICE CONCERNING PATIENT PAYMENT RESPONSIBILITY.
If you elect to have us bill your patients directly for their medication, please note the medication will not be shipped to the patient until payment has been fully remitted. We will make reasonable efforts to notify your office if we are unsuccessful in contacting one of your patients for payment.
OSRX operates in full compliance with Section 503A regarding compounded drugs as defined in the FD&C Act.
*Compounded drugs are not FDA-approved, which means they have not undergone FDA premarket review for safety, effectiveness, and quality. 503A compounding pharmacies are not required to comply with cGMP requirements but can be inspected by FDA. References available upon request.
Click here to view potential contraindications.