To fill your initial prescription(s) forms online, please complete the request form below. Please don't use this form to refill a prescription. All prescriptions will be verified by a pharmacist prior to fill. To refill, please go to Refill Online section.
Leiter's | FDA Registered 503B
Leiter's is an FDA registered 503B Outsourcing Facility. Leiter's ships the highest quality compounds nationwide to all states with the exception of Arkansas, Texas, North Carolina and Maine.
Leiter's is the #1 Ophthalmic Outsourcing Facility in the nation.