Health Professionals

Health Professionals: Please fill out the form below to register for wholesale pricing for Pharmaden brand products. We will manually approve you and notify you via email with your password. You must be a health professional to be approved for these discounted prices.

Health Professionals Name*
First Last
Email*
Phone*
Practice Name Or License Number*
Address*
Street Address Address Line 2 City State ZIP Code
How did you hear about us?*
Referral Code Or Name Of Who Referred You
Would you like to be an ambassador? (Click on your choice.)*

Anyone registered as an ambassador will not receive a percentage of their own wholesale purchases. Ambassadors can receive 10% of other registered health professionals’ they refer using their designated code (provided after ambassador approval) and 15% of all retail sales (sales at full price – available for patients, family, friends, etc. who are not health professionals).