Become a Provider

Ready to offer the purest pellets in your clinic?

Become a Qualgen Provider

Please fill out the new provider application and fax it to 405-286-3755 email it back to us atย

Please note, to successfully set up your account you must have an active DEA and we can only ship to the address registered with the DEA. Once we have your account set up you will have access to our online catalog and be able to place your orders online.

โ€‹If you have any questions or concerns, feel free to call our sales team at 405-551-8216.

We are licensed in most states, however, please visit ourย licensing pageย to verify if we are licensed in your state.

New Provider Application