For caretakers and patients in need of DME/HME items

1. Fill in as much information as possible for each request and the doctor who prescribes

2. Submit as much detail about the items in need, we will contact you within 24 hours to complete the necessary paperwork for the order

3. If the need is an emergency and payment is available immediately, orders submitted before 12:00PM may be able to be delivered next day! Please call the pharmacy and ask for the DME Department, 1.800.274.0176 ext 6.

4. We are able to bill: Passport/Waiver, Caresource, Medicaid and others.