Wholesale account application

Tell us about your business

Everything here is used to verify your account and set your pricing tier. It takes about five minutes.

1. 1 · Contact
2. 2 · Business
3. 3 · Volume
4. 4 · Referral
5. 5 · Compliance

Leave this field empty

Account & contact

First name *

Last name *

Work email *

Free email domains are flagged for manual verification.

Phone *

Job title *

Create password *

Business details

Company / legal entity name *

DBA / brand name

Website *

No site yet? A storefront, marketplace shop or social profile works.

Business type *Select…Distributor / resellerPrivate-label brandResearch laboratoryUniversity / institutionCompounding pharmacyClinic / practiceContract manufacturerOther

Years in business *Select…Pre-launchUnder 1 year1–3 years3–5 years5+ years

EIN / business tax ID

Or company registration number outside the US.

Resale / tax exemption certificate

PDF or image. Optional now; required before tax-exempt orders.

Country *Select…AfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelauBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Saint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongo (Brazzaville)Congo (Kinshasa)Cook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyIvory CoastJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalestinian TerritoryPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarReunionRomaniaRussiaRwandaSão Tomé and PríncipeSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint Martin (Dutch part)Saint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia/Sandwich IslandsSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTürkiyeTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited Kingdom (UK)United States (US)United States (US) Minor Outlying IslandsUruguayUzbekistanVanuatuVaticanVenezuelaVietnamVirgin Islands (British)Virgin Islands (US)Wallis and FutunaWestern SaharaYemenZambiaZimbabwe

State / region *

Business address *

Commercial address preferred — residential addresses are reviewed case by case.

Volume & interest

Current monthly revenue *Select…Pre-revenueUnder $10k$10k – $50k$50k – $100k$100k – $250k$250k – $1M$1M+

Estimated monthly spend with us *Select…Under $2,500$2,500 – $10k$10k – $25k$25k – $50k$50k+

Expected first order *Select…Sample / trial runUnder $2,500$2,500 – $10k$10k+

Estimated monthly volume (vials)Select…Under 500500 – 2,5002,500 – 10,00010,000+

Services of interest *

Catalog wholesale Private / grey label Custom synthesis Fill & finish only Blends Bulk API

Compounds of interest

GLP-1 class Healing / repair Growth factors Cosmetic Nootropic Custom sequence

Current supplier(s)

Helps us quote competitively — never shared.

How will you pay? *

ACH bank transfer Wire transfer Cryptocurrency

We accept ACH, wire transfer and cryptocurrency. Orders ship once payment clears — pick every method you can use so we can invoice the fastest one.

How you found us

How did you hear about us? *Select…Referred by an existing customerContacted by one of our repsTrade show / conferenceSearch engineSocial media / forumPodcast / industry pressOther

Referrer name or company

Referrer email or account number

Used to credit their referral bonus.

Referral / rep code

Optional — assigns an account manager and any promo tier on approval.

Anything else we should know?

Intended use & compliance

Intended use of product *

Required acknowledgments

All products are supplied for research use only (RUO) and are not for human or veterinary consumption, diagnostic or therapeutic use.

I will not resell or distribute product for human consumption, and I am responsible for compliance with all laws applicable to my business.

The information above is accurate and I am authorized to submit it on behalf of this entity.

I agree to the Terms of Sale, Privacy Policy and confidentiality terms.

Authorized signer — full name *

Title *

Send me product releases, stock alerts and wholesale pricing updates.

← Back Continue →

Already applied? Check your status