
How to Write a Compounded Medication Prescription
We make it easy and efficient to prescribe your patients compounded medications tailored to their needs. Our customizable approach to personalized medication allows us to concentrate creams for easy application, combine active ingredients in oral forms not commercially available, and provide medications without fillers and additives for allergy-sensitive patients.
Get Started: Gather the Information Needed
- Patient Information – First Name, Last Name, Date of Birth, Gender, Address, Cell Phone Number, Email, Known Drug Allergies and Patient Identifier (in applicable states)
- Prescription Information – Date, Drug(s), Dose, Dosage Form, Directions indicating the frequency of use and the route of administration, Quantity, and Refills.
- Prescriber Information – First Name, Last Name, Practice Address, Phone Number, Fax Number, NPI #, State License Number, DEA License, and State Controlled Substance Registration (where applicable)
- Prescriber Signature – Provide an authentic pen-to-paper prescriber signature for all controlled substances. Stamped and faxed electronic signatures are not considered valid by the DEA. Submitting controlled substances via EPCS-certified software is preferable.
- Payment Type – If your patient is paying the pharmacy directly, please follow the instructions below to send in a prescription. If you’d like to set up clinic pay, please contact us.
Send In Your Prescription
We offer many convenient ways of sending in a prescription for your patients. If you prefer to set up clinic pay, please contact us to get started.

By Phone
Call the toll-free phone number that corresponds with the Belmar Pharmacy location where you wish to submit a refill:
- Colorado: 800-525-9473
- Arizona: 800-699-8143
- Wisconsin: 800-279-5708
- Florida: 877-418-4692
- Kansas: 316-721-2626

By Fax
Fax the toll-free number that corresponds with the Belmar Pharmacy location where you wish to submit a refill:
- Colorado: 866-415-2923
- Arizona: 800-330-0268
- Wisconsin: 800-279-8011
- Florida: 877-418-4690
- Kansas: 303-729-0047
If there is any missing information, we will contact you via fax.

Electronically
If you can submit prescriptions through your EMR, search for us by our NCPDP number, or simply search Belmar Pharmacy by location: Colorado, Arizona, Wisconsin, Florida, Kansas, and our connection information should populate.
NCPDP:
- Colorado: 0604923
- Arizona: 322773
- Wisconsin: 5117773
- Florida: 5756065
- Kansas: 1717935

Prescriber Portal
Our complimentary Prescriber Portal gives you access to view, track, and write prescriptions online. For Prescriber Portal inquiries, please email us.
Online Ordering Portal for Providers and Patients
For Providers
Belmar offers providers free, secure online access to our electronic prescription management system.
The prescriber portal offers:
- User-friendly prescribing tools for quick, easy ordering
- Real-time order status
Easy refill entry - Access to patient order delivery tracking
- Personalized medication lists customizable to your practice
For Patients
Belmar patients can easily process refills and manage medications through the online patient portal.
Utilize our patient portal to:
- Request refills online
- Receive text and/or email notifications
- Receive prescription updates
Track shipping
How to Place an Office-Use Pellets and Testosterone Injectable Blends Order
- We recommend you place volume orders to save on shipping costs and plan accordingly to avoid oversized orders.
- We cannot return, exchange or replace expired pellets.
- Your Solutions Engineer can provide you with an analytical forecast of your ordering process to stay organized. We are your partner in compounding medications and here to help you with inventory management.
- Belmar pellets have a 360-day shelf life from the date they were compound manufactured. If a lot is within 30 days of expiration, we will not send it out without notifying you first. If you are placing a large order, you may call and speak with our BSO Support Team to check lot expirations.
