No Hassle Prescriptions!!

Prescription Headquarters wants to eliminate as much confusion, frustration and stress as we can for the injured worker.  Our experienced customer service team are ready to assist in enrolling you in our mail order pharmacy program.  As a PHQ client, you enjoy the benefits of......

• No out of pocket chages.
• No confusing insurance claim forms to fill out.
• No trips to the drug store.  Saves you time and gas.
• Complete confidentiality.
• Medications delivered to your door in 24-48 hours.

Please click on the RX Form Request link.


                                                              RX Form Request

Please fax your prescription to:  877-938-0102     Questions, please call:  800-585-4298


For Personal Injury Claims:

If you have a personal injury claim, we need the below form filled out by you and your attorney and faxed to 877-938-0102.  PHQ requires the completed form prior to any medications being dispensed.

                                      Personal Injury Reimbursement Lien Agreement