Select up to 16 items below for your customized Restorative Formulations Prescription Pad Practice Name Name & Title Title Address City, State, Zip AL AK AB AS AZ AR AA AE AP BC CA CO CT DE DC FL GA GU HI ID IL IN IA KS KY LA ME MB MD MA MI MN MS MO MT NE NV NB NH NJ NM NY NF NC ND NT NS OH OK ON OR PW PA PE PR QC RI SK SC SD TN TX VI UT VT VA WA WV WI WY YT Phone IMPORTANT: Contact Info for Pad Approval Name E-Mail CREATE YOUR OWN CUSTOM PAD Practice Name Your Name 123 Your Street Your City, ST 99999 123-456-7890 RF-1010 Adaptogen - 75 capsAdrenal Support RF-1030 Adrenal Px Balance SyrupAdrenal Support RF-1020 Adrenal Px Balance Capsules - 75 CapsAdrenal Support RF-1040 Adrenal Px DHEA - 75 caps (US Only)Adrenal Support RF-1050 Adrenal Px DHEA-25 - 75 Caps (US Only)Adrenal Support RF-1070Adrenal Px L-BP Syrup 4 oz.Adrenal Support RF-1060Adrenal Px L-BP Capsules - 75 CapsAdrenal Support RF-1080 Cardiac Px - 60 CapsCardiac Support RF-1100 Cholesterol Care - 120 caps Supports Cholesterol Metabolism RF-1105 CoQ10 175 - 60 capsEnergy Production RF-1108 Ubiquinol 100 mg - 60 Vegi Soft GelsEnergy Production RF-1115 Enfla-Mend Px - 75 CapsMediate Prostaglandin Activity RF-1160 Estro-Px - 75 CapsHealthy Estrogen Activity RF-1130 Glucose Balance Px - 120 Caps Blood Sugar Metabolism RF-1170 HTN 180 Px - Original - 60 Caps available in Canada through Signature Supplements888-333-8038Blood Vessel Relaxation RF-1175 HTN 180 Px - Extra Strength - 60 Caps available in Canada through Signature Supplements888-333-8038Blood Vessel Relaxation RF-1178 Iodine Px - 75 Caps (US Only) Iodine Cofactors RF-1165 Kava Calm Px - 60 Caps Stress Management and Emotional Well-being RF-1176 Liver Support Px - 75 CapsLiver Support RF-1180 Metabolic Nutrition PowderHigh-Nutrient Multivitamin RF-1185 Metabolic Nutrition - 60 CapsHigh-Nutrient Multivitamin RF-1189 MicroBiome Px - 60 Caps Healthy Inflammatory Response RF-1190 Oregano Oil Px - 60 Caps Immune and Digestive Health RF-1201 Osteo Px - 60 CapsSupports Bone Health RF-1202 PCO PxMenstrual Regulation RF-1210 Respiratory EZ - 60 caps (US Only)Supports Respiratory Function RF-1220 R-Hist Px - 75 CapsHealthy Histamine and Immune RF-1225 Sleep - 60 Vegi Soft GelsSound Sleep RF-1240 StressCalm Px - 75 CapsSupports a Sense of Calm RF-1255 T-Cell Balance PxSupports a balanced immune system RF-1260 ThyroCalm Px - 120 CapsMaintain Healthy Thyroid Function RF-1290 ThyroCare - 75 CapsThyroid and Body Temperature Support RF-1300 Thyroid Px - 75 CapsThyroid and Body Temperature Support RF-1380 Triple Turmeric Px - 60 Caps Healthy Inflammatory Response RF-1450 Vitamin D3 10,000 IU - 60 CapsImmune Function (US Only) RF-1445 Vitamin D3 Balance - 60 CapsImmune Function (US Only)