Please complete the following form to request a prescription. Please note that requests may take up to 72 hours. A representative from BVNS will contact you to confirm receipt of your request.
Select a title
Select a BVNS Location to Contact
Atlanta - 7800 Highway 92, Woodstock, GALeesburg -165 Fort Evans Road, NE, Leesburg, VA 20176Springfield - 6651 Backlick Road, Springfield, VA 22150Richmond - 5918 West Broad Street, Richmond, VA 23230Rockville - 1 Taft Court, Rockville, MD 20850Vienna - 140 Park Street, VA 22150
Select your Neurologist
Dr. AikenDr. BarkerDr. BensfieldDr. BushDr. CuffDr. HigginbothamDr. JarboeDr. LipitzDr. NearyDr. RiveraDr. Young
Name of Drug:
How would you like to obtain your prescription?
Pick-up at local BVNS
Call In to local Pharmacy
Ship to your home
City, State, Zip Code
Please provide an accurate list of your pet's medications including the prescription strength and current dose.
Please provide an update on your pet below
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