Legal Community

Fill out our simple Client Pre-Approval form below and we will expedite FREE Home Delivery of your client's medications.

Get Your Lien Client Pre-Approved Now.

One Contact

& Billing Team.

for All Pharmacy Locations

We partnered with local pharmacies across the Valley to create the Lien Rx Network – now offering 16 walk-in locations. All correspondence and billing is coordinated through the Las Vegas Pharmacy team to expedite service.

Lori Ortale, Managing Pharmacist

Fill out the form below. We'll contact you soon.

Client Name(Required)

First Last

Choose Pharmacy(Required)

Client Date of Birth(Required)

Client Phone(Required)

Client Email

Date of Accident(Required)

Attorney/Firm Name(Required)

Attorney Phone(Required)

Physician Name/Practice(Required)

Physicians Phone(Required)

Case Manager Name(Required)

Case Manager Email(Required)

Amount of Pre-Approval

Special Instructions(Required)

Additional Comments

This field is for validation purposes and should be left unchanged.