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Pharmacist & Inquiry Support: 801.569.0465 | [email protected]

Welcome, Prescriber. Let's Get You Started.

Genesis Compounding is built for prescribers who want individualized medicine without friction. Download the onboarding documents below, complete them, and return to us via fax or email to establish your prescriber account.

Fax: 385-855-1221
Email: [email protected]
Phone: 801.569.0465
1

Download Documents

Download and complete all required onboarding forms below.

2

Submit via Fax or Email

Fax to 385-855-1221 or email to [email protected].

3

Start Prescribing

Once verified, begin submitting prescriptions for your patients.

Onboarding Documents

All documents are required to establish a new prescriber account with Genesis Compounding.

Facility Profile Form
Required for all new prescriber accounts. Includes practice details, NPI, DEA, and authorized signatures.
Download PDF
Credit Card Authorization
Secure payment authorization for pharmacy billing. Required before the first order is processed.
Download PDF
General Compounded Order Form
For custom or non-GLP compounded medication orders. Covers all Genesis formulations.
Download PDF
GLP Prescription / Intake Form
Specific to Tirzepatide and GLP-1 prescriptions. Includes patient intake and injection schedule.
Download PDF

Have questions about becoming a prescribing partner?

Call Us: 801.569.0465 Email Our Team