Please register here to set up a new account to enable to access pricing and order product. We do not sell to the public, only firms which are properly licensed and are authorized to purchase pharmaceutical products.

  • Companies must be approved prior to placing their first order.
  • Please download our Credit Application and accept our Terms and Conditions.
  • Once the credit application is approved orders will be invoiced and a credit card is not required

Personal Information

Billing Address

Login Information

Business Information

For New Accounts Only

Owner/Officer Contact Information

Document Upload

Please attach DEA Certificate, State License, and completed Credit Application here. You can also send them via fax 877.578.0545 or via email to dsupon@rxoneshop.com.