Let us work together to help you achieve better care for your patients through customized medication solutions. We look forward to serving you!

Please fill up the form below should you choose Gayana Pharma as your preferred custom compounder. We will then send you an email with your Doctor ID and password. This Doctor ID will be your authentication in the future. For more information, please do not hesitate to contact us at


Registered doctors, please fill out prescription form to place your orders. Orders can be done via one of the following options listed below.
Email :
Call / Whatsapp : +6013 309 8282
Fax : +6(03) 2144 8189


  Download Prescription Form