Customer Payment Portal

PAY MONTHLY VIA ACH

This convenient payment method authorizes regularly scheduled charges to your checking/savings account. You will be charged the amount indicated on the statements you receive in the email and will receive a confirmation of the transfer. You may cancel this automatic billing authorization at any time by contacting us by email only.

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MAKE A ONE-TIME PAYMENT VIA CREDIT CARD

Use the form below to make a quick payment to your account balance. If you would like your payment to apply to a certain invoice, please note it in the comments box.


Payer Information
Customer ID*
Invoice #*
First Name*
Last Name*
Account/Company Name (if N/A, write "None")*
Address*
City*
Country*
State*
Zip*
Phone*
Email*
Payment Information
Amount*	$
Card type*
Credit Card Number*
Expiration Date*	/
Card (CVV) Code*
Comment

START EARNING MORE REVENUE TODAY WITH PHYSICIAN DISPENSING

Contact us today for more information.

Customer Payment Portal

PAY MONTHLY VIA ACH

MAKE A ONE-TIME PAYMENT VIA CREDIT CARD

Payer Information

Payment Information

START EARNING MORE REVENUE TODAY WITH PHYSICIAN DISPENSING