New Provider Form
Getting started with ReviveRX Pharmacy as a provider is simple. Find your prescription medications and fill out your information to begin saving with continuous care through refills, reminders, and wellness tips. Once your prescriber confirms, we’ll deliver contact-free straight to your home.
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Provider FAQ
Can we compound for office use?
No, we are unable to compound for office use.
How can my provider send prescriptions to ReviveRX?
Escribe, ReviveRX Portal or verbal.
What states is ReviveRX licensed to ship to?
- Alaska
- Arizona
- Colorado
- Connecticut
- Delaware
- Florida
- Georgia
- Hawaii
- Idaho
- Illinois
- Indiana
- Iowa
- Kansas
- Lousiana
- Maine
- Maryland
- Massachusetts
- Michigan
- Minnesota
- Mississippi
- Missouri
- Nebraska
- Nevada
- New Hampshire
- New Jersey
- New Mexico
- New York
- North Carolina
- North Dakota
- Ohio
- Oklahoma
- Oregon
- Pennsylvania
- Rhode Island
- South Dakota
- Tennessee
- Texas
- Utah
- Vermont
- Virginia
- Washington
- West Virginia
- Wisconsin
- Wyoming