Back to Flavor Requests

New Questionnaire

Create a questionnaire for a prescription to get the best flavor recommendation.

Medication Required

Search for the compounded medication.

Medication name

Examples: Amoxicillin, Azithromycin, Ibuprofen, Metronidazole

We use the medication to improve recommendation accuracy.

Medication Form Required

Select the form you are compounding. Patients will not be asked this.

Patient Type Required

Who is the patient this medication is for?

Species

Patient Reference Optional

An internal patient identifier used by your pharmacy to associate Flavor Wizards with the same patient over time.

Patient Reference

Controlled entirely by your pharmacy. RxFlavor does not interpret the format. Patients will not see this. Use it to find prior Flavor Wizards and flavor history later.

Delivery Method

Choose how the patient will access this questionnaire.

Patient Phone Number

Patient Email Address

What patients will see ⓘ

Flavor Wizard

Let's find a flavor you're more likely to enjoy.

This short questionnaire helps your pharmacist understand your flavor preferences before preparing your medication.

Takes about 60 seconds

Summary

Medication Not selected

Medication Form Not selected

Patient Type Not selected

Patient Reference Not set

Delivery Method QR Code

Edit details

Private & Secure

Secure questionnaire. Patient responses remain private. Your pharmacy only receives the flavor recommendation results.

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