Demo Vet Portal

Patient Information
Pet's Name*
Species*
Owner's Name*

First NameLast Name
Owner's Cell Phone Number*
Please enter a valid cell phone number for text messages from the pharmacy.
Pet's Date of Birth (Optional)

MonthDayYear
Date

Prescription Information
Medicine*
Prescriptions using HYDROCODONE or HYDROCODONE/HOMATROPINE must be handwritten on a California Security Prescription Form. They cannot be filled on this portal.
Manually Enter Medicine Here*
You selected a controlled drug. Please provide the Owner's Date of Birth:

MonthDayYear
Medicine Form*
Suspension Medicine Strength: mg/mL
Transdermal Gel Medicine Strength: mg/0.1mL
Capsule Medicine Strength: mg
Script Tabs Medicine Strength: mg
Chews Medicine Strength: mg
Other: Medicine and Strength
Medicine Quantity*
Medicine Flavor
Sig:*
# of Refills*

FDA Need to Compound Statement
ScriptWorks makes every effort to comply with FDA Veterinary Guidance documents. Please select one of the Need to Compound Waiver selections below.*

In my professional judgement, I have determined that this compounded drug is clinically necessary to meet the unique needs of my patient where the commercially available products do not meet those needs due to allergies, intolerance to excipients, route of administration, product labeling, and/or directions for use restricts my ability to provide appropriate treatment.In my professional judgement and experience the use of this compounded drug is clinically necessary to provide the appropriate dosing based on treatment protocols that cannot be met by the commercially available drug products. Patients may need either a higher or lower dose and/or different route of administration than the commercially available drugs.Please fill this prescription using the commercially available drug.