Partner OTC Order Form

Please complete the order form below to receive OTC medications. Orders submitted by Wednesday each week will be shipped or ready for pick up in 7 days.

*This is not an order form for customers/patients to receive medications. Customer medications ordered from this page will not be fulfilled. Customers must order from our Mobile Free Pharmacy webpage: https://medassist.org/mobile/ or the OTC Free Store webpage: https://medassist.org/otc-free-store/