C3 Patients Association Pharmacy Membership

In order to have a membership with C3 Patients Association, you MUST have a prescription from a Doctor. If you need assistance finding a doctor please visit our Directory of Doctors page to locate a Doctor near you. If you find youre having trouble completing/submitting your forms, please contact us at patientservices@IdrasilRx.com or call Patient Services at 714-371-5964 and we will be happy to help you get started with Idrasil™.

  • *Currently shipping to California only.
  • Drop files here or
    Do you have a current prescription or insurance information? Please upload here to expedite the process.
    In order to have a membership with C3 Patients Association, you MUST have a prescription from a licensed medical professional. Also, I have read and agree to the Terms & Conditions / HIPAA and Legal Agreement.