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How to WRite a Valid
 prescription form

Florida regulations require the following information to be included on prescriptions when prescribing medicinal
drugs. Please ensure all requirements are met prior to submitting the prescription. Prescriptions submitted that are
missing any of the required information may result in delays in processing the order.

  • Name of prescriber

  • Address of prescriber

  • DEA number of prescriber (if controlled substance is prescribed)

  • Patient name

  • Patient physical address (if controlled substance is prescribed) P.O. Box is NOT acceptable​

  • Drug name, strength, and quantity to dispense

  • Instructions for use 

  • Signature of prescriber (original signature is required if controlled substance is prescribed - NO STAMP SIGNATURE

  • Date of issue or date prescription signed

  • If the prescription is for a compounded formula, that needs to be indicated on the prescription. A statement explaining that the patient requires the compounded product should be included (e.g, “By submitting this prescription, I acknowledge that after evaluating commercially available drug product options, I have determined that this compounded preparation is clinically necessary for this patient”).

how to send in a prescription

Phone

Call 800-995-4363 to speak with a customer service, pharmacy technician.

Fax

Fax our Toll-Free number 

800-985-4363 for submission. 

We will reach out to you if

additional information is needed

MyAnazao

Our online portal gives you the opportunity to write, track, and order for your patients.

More Information

For more information, or to place an order, place call our Customer Service Department at 800.995.4363 or email info@anazaohealth.com

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