| # | Order ID | Form | Name of Customer | Address | Status |
|---|---|---|---|---|---|
| 1 |
GO-69a45f6f3c57e176203924
03/01/2026 10:46 |
gbpharmaceuticals.com | Robert Napierala | 8265 Sheridan Dr Williamsville, New York - 14221 | awaiting_shipment |
| 2 |
GO-69a40f1075316052599057
03/01/2026 05:04 |
arman.com | Lauren Stone Jackson | 13567 Rye St. Apt 2 SHERMAN OAKS, California - 91423 | awaiting_shipment |
| 3 |
GO-69a40d4839316049663892
03/01/2026 04:56 |
arman.com | Christian Sonntag | 1004 Alison Circle Livermore, California - 94550 | awaiting_shipment |
| 4 |
GO-69a40ae65606c655720138
03/01/2026 04:46 |
arman.com | Kristen Salisbury-Sonntag | 1004 Alison Circle Livermore, California - 94550 | awaiting_shipment |
| 5 |
GO-69a3676106672469913354
02/28/2026 05:08 |
PharmacyChiefs.com | Terry Smith | 133 N Chalkville Rd Suite 1 Trussville, Alabama - 35173 | awaiting_shipment |
| 6 |
GO-69a357a495aaf382085668
02/28/2026 04:01 |
gbpharmaceuticals.com | Shelby Zaremba | 1638 Chelsea Cir Howell, Michigan - 48843 | awaiting_shipment |
| 7 |
GO-69a34d456a3da526756296
02/28/2026 03:17 |
PharmacyChiefs.com | Misty Dockery | 148 W Jackson St, Suite 2 GATE CITY, Virginia - 24251 | In Process |
| 8 |
GO-69a3238921612722688931
02/28/2026 12:19 |
medicalweightlossclinics.com | PIERRE DELTOR | 4601 N CONGRESS AVE STE 203 WEST PALM BEACH, Florida - 33407 | awaiting_shipment |
| 9 |
GO-69a3086fc37b8543345630
02/28/2026 10:23 |
PharmacyChiefs.com | Khudsiatu Tucker | 5632 Annapolis Road, Ste 11 Bladensburg, Maryland - 20710 | awaiting_shipment |
| 10 |
GO-69a2ec7d43908615238536
02/28/2026 08:24 |
compoundrx.net | kristin watson | 315 thompson lane jeffersonville, Indiana - 47130 | awaiting_shipment |
| # | Order ID | Form | Name of Customer | Address | Status |
|---|---|---|---|---|---|
| 1 |
98d4c1282179fb1a635e0f7162e277f11772072907
02/25/2026 09:31 |
getslimusa.com | Geoff Dietrich | 755 Copper Woods Ln Copper Canyon, TX - 75077 | For Doctor's Approval |
| 2 |
c80afe22554ab721cd8c340a5acb8acc1771364982
02/23/2026 03:36 |
getslimusa.com | Geoffrey Dietrich | 755 Copper Woods Ln Copper Canyon, TX - 75077 | For Doctor's Approval |
| 3 |
2e60882c24b312923c5ace463279916e1768162060
01/11/2026 03:09 |
getslimusa.com | Abbey Booker | 4347 Morningside Dr Helena, AK - 35080 | For Doctor's Approval |
| # | Products | SKU | Title | Qty | Price |
|---|
| Patient Name (First, Last) |
SEX |
|
||||
| DOB | Cell Phone | |||||
| Shipping Address | ||||||
| Required Patient Information (Fill out or attach demographics with fax) | |
| Allergies (if none, must write none) |
|
| Current Medications (if none, must write none) |
|
| Driver's License # | |
|
|
|
| Facility Name | Facility Phone | ||
| Facility Address | |||
* If Provider is a NP/PA a Supervising Provider is required for a Controlled Substance (or a Standing Order must be on file) *
| Patient | DOB | Qty |
|---|
| Doctor Name Goes Here | |
|---|---|
| Docotors' Notes Content Here | Edit |
| # | Order # | Card No. | Amount | Discount Code Discount Type Discount Amount |
Invoice | Invoice Created |
Is Paid | Is Refunded | Payment Status |
|---|
| # | Order # | Prescription Order No. |
Name | Medication | Refill No | Days Supply | Refills | Order Status |
Canceled At |
Tracking No. |
Shipping Provider |
Date Delivered |
|---|
| Patient Name (First, Last) |
SEX |
|
||||
| DOB | Cell Phone | |||||
| Address | ||||||
| Required Patient Information (Fill out or attach demographics with fax) | |
| Allergies (if none, must write none) |
|
| Current Medications (if none, must write none) |
|
| Driver’s License # | |
|
|
|
| Facility Name | Facility Phone | ||
| Facility Address | |||
* If Provider is a NP/PA a Supervising Provider is required for a Controlled Substance (or a Standing Order must be on file) *