Tell us about you

This form is for veterinary facilities that want to use the iFill platform to order compounds or specialized manufactured medications.

Are you a pet owner looking to refill online or pay for a prescription? - Just head on over to the Client Portal

First Name*

Last Name*

Email Address*
Phone Number*

Tell us about your facility

All about the facility you are registering today

Facility Name*

Street Address*

Additional Street Address

City*

State*
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ZIP*

Phone Number*

How will you be ordering?

iFill works the way you do.

Do you submit prescriptions in a patient's name?  Do you place orders for in-house-use? - maybe both - we get it.

DTC Direct to Client: If you are going to be sending in prescriptions, we need to know the primary doctor responsible for those prescriptions.
We know that you may have a lot of doctors at your facility, we can add more doctors once your registration is complete - so let's just add one for now. Copy to DTO -->>

Doctor's First Name*
Doctor's Last Name*

Doctor's Email*

Doctor Discipline/Title*

Doctor's DEA #

Doctor's State License #*

State*
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DTO Direct to Office: If you are going to be placing orders for in-house-use use, we will need to know the name of the person (DEA Registrant) responsible for those orders.
Frequently this is the primary doctor at your facility, but it could be a DEA registrant or other authority. Let's get those details. We only need one. <<-- Copy to DTC

DEA Registrant's First Name*
DEA Registrant's Last Name*

DEA Registrant's Email*

DEA Registrant Title*

Registrant DEA #

Registrant State License #*

State*
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Others that can place an order

Doctors and Registered Agents often allow staff members to place orders on their behalf.

If you want, go ahead and give us the information for one of those staff members so we can get them up and running quickly.

More staff members can be added after your registration is finalized.

First Name
Last Name

Title
Email

OK, Looks like we're all set

All registrations are personally reviewed by our staff.

We will review all of your information, finalize your registration and you should expect to hear back in a couple business days.

If you need to place an order for your office right away please call 888-508-5032 to speak with our Direct-to-Office Team.

If you need to script out for a patient now, please call 800-754-5222 to speak with a pharmacist.


Register Now