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meds made easy

provider order forms

Note: These prescription order forms can only be sent via fax from a prescriber’s office.

Fertility Medications RX Forms

Immune Globulin Medication Order Form

e-script us

SMP Pharmacy #2 (Fertility/Compounding)
Address: 7500 NW 26 Street Suite 102, Miami, FL 33122
Phone: 855 255 5005 Fax: 866 301 1364
NABP/NCPDP: 1054573
NPI: 1932421294
DEA: FS1854151

SMP Pharmacy Solutions #3 (Retail/Specialty)
Address: 7500 NW 26 Street, Suite 101 Miami, FL 33122
Phone: 305 740 9696 Fax: 305 740 9778
NABP/NCPDP: 5710365
NPI: 1831481027
DEA: FS2595847

SMP Pharmacy #4 (Northridge)
Address: 18546 Roscoe Blvd Ste 102, Northridge, CA 91324
Phone: 818 998 8700 Fax: 818 998 8730
NABP/NCPDP: 0539809
NPI: 1457530735

Ambulatory Care Pharmacy, Inc. DBA SMP Mid-Atlantic
Address: 9601 Blackwell Rd Ste 230 Rockville, MD 20850
Phone: 844 589 9961 Fax: 888 479 4537
NCPDP: 2123242
NPI: 1548308216

start your order

Have your doctor send us your prescription. Give them our website URL: or tell them to give us a call at 855.255.5005 (Miami) and 818.998.8700 (California)

already have an rx?
transfer your prescription

To transfer your current prescription to SMP Pharmacy, simply submit the transfer form below and one of our skilled team of pharmacists will then take the following steps:

  • We will contact your current pharmacy
  • Process patient’s medications through their insurance
  • Prepare patient’s medication for pick-up or free next day delivery

Please allow up to 24 hours for prescription transfers. An SMP Pharmacy team member will reach out as soon as we are able to process your request. If you need to speak with a pharmacist right away, call 855 255 5005.

refill RX form

If you have used SMP Pharmacy before or are requesting a prescription refill, please call 855 255 5005, log in to our mobile app or fill out the form below to request a refill.

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