Already have an account? Log in to expedite your order. You can also create an account. Order Form Order Estimation Step 1: Select your products ⚠️ If the product you are looking for is not in the scrolling choices, please enter it manually. Product Quantity Due to the controlled nature of the selected product, please attach a prescription signed by the pharmacist. You can also fax it to 450-978-9467. Step 2: Prescription information if necessary Prescription If the compounded solution is for a patient, join a copy of the prescription. Make sure to black out personal informations for a confidential transmission. Renewal For a renewal, enter the prescription number of our EJM pharmacy if you have it on hand. Insurance and Delivery Fees covered by RAMQ The RAMQ pays the cost of transport of covered preparations from the compounding pharmacy to the dispensing pharmacy for the patients covered under this regime. If applicable, please check RAMQ and enter the prescription number at your pharmacy. If the product is for multiple patients, only one prescription number is sufficient. Regular shipping fees Step 3: Your informations Email A confirmation of your order or estimation will be sent in the email above. Pharmacy Name Telephone Pharmacist name License number Contact Person Note
Order Form Order Estimation Step 1: Select your products ⚠️ If the product you are looking for is not in the scrolling choices, please enter it manually. Product Quantity Due to the controlled nature of the selected product, please attach a prescription signed by the pharmacist. You can also fax it to 450-978-9467. Step 2: Prescription information if necessary Prescription If the compounded solution is for a patient, join a copy of the prescription. Make sure to black out personal informations for a confidential transmission. Renewal For a renewal, enter the prescription number of our EJM pharmacy if you have it on hand. Insurance and Delivery Fees covered by RAMQ The RAMQ pays the cost of transport of covered preparations from the compounding pharmacy to the dispensing pharmacy for the patients covered under this regime. If applicable, please check RAMQ and enter the prescription number at your pharmacy. If the product is for multiple patients, only one prescription number is sufficient. Regular shipping fees Step 3: Your informations Email A confirmation of your order or estimation will be sent in the email above. Pharmacy Name Telephone Pharmacist name License number Contact Person Note