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Prescribe With Akina

We’ve made prescribing easy to save you and your staff time

This page is for prescribers only. Prescription forms can only be completed and transmitted by the prescriber.

Complete the online fillable prescription form, and fax it to Akina Pharmacy. We will immediately contact your patient!

Download Akina Pharmacy Prescription Referral Form

Required: You will need Adobe Reader to edit the form. Get it Here