Call us toll free! 1-888-545-6464 9:00 am to 7:00 pm Monday-Friday PST Toll free fax: 1-800-280-2939

View video on MiniPharmacy

Receive your diabetic supplies at little or no cost to you...

NO-CHARGE METER to Eligible Patients - FREE DELIVERY NATIONWIDE

No more running around town for the product you need.
No more last minute trips to the pharmacy.
Say goodbye to standing and waiting in line.

We accept Medi-Cal Programs, Managed Care, HMOs, PPOs, and most health plans. Mini Pharmacy will file most health plan claims for you, as well as any other paperwork that is required.

Just fill out the simple form below and we'll take care of the rest!

* Means fields are required. If you are unsure of an entry, please just write NA.

* Patient Name:

* DOB:

* Address:

* City:

* State:

* Zip:

* E-mail:

* Daytime Phone:

* Insurance Plan:

* Insurance ID#:

* Insurance Phone:

* Doctor's Name:

* Doctor's Phone:

Please select the complimentary kit you will receive with your first order of strips and lancets.
Abbott
Precision Xtra	FreeStyle Lite	FreeStyle Freedom
Bayer
Breeze 2	Bayer Contour TS	DEX
LifeScan
OneTouch UltraSmart	OneTouch Ultra Mini	OneTouch Ultra2
OneTouch Ultra	OneTouch Select
Roche
Accu-Check Advantage	Accu-Check Compact Plus	Accu-Check Active
Accu-Check Aviva
Sanvita
NovaMax	NovaMax Link