Restricted Product Authorization
Certain products we distribute are available only to qualified healthcare professionals and facilities, as required by the manufacturer. Mohawk Medical Mall verifies purchaser credentials to comply with these distribution requirements. This restriction does not mean the products are prescription items.
How to Submit Your Information
1. Complete the Authorization Form
Download our Restricted Product Authorization Form
2. Provide Your Professional Credentials
Include the current professional license, facility documentation, or other credentials applicable to the products you wish to purchase. Requirements may vary by product.
3. Send Your Documents to Mohawk Medical Mall
Email your completed documents to service@mohawkmedicalmall.com or fax them to 315-797-0365, Attn: Restricted Authorization.
4. We Review Your Documentation
Our team will review your information and contact you if anything else is needed.
5. Place Future Restricted Product Orders
Once approved, we keep your authorization information on file to make future purchases easier. Updated documentation may be needed if credentials expire or your account or facility information changes.
Frequently Asked Questions
Why are some products restricted?
The manufacturer limits distribution of certain products to qualified healthcare professionals or facilities. Mohawk Medical Mall follows those requirements as a direct distributor.
Does a credential request mean the product is prescription-only?
No. The products covered by this page are restricted under manufacturer distribution requirements. A request to verify credentials does not, by itself, mean a product is a prescription item.
What documents do I need to submit?
Submit the completed authorization form and the current professional or facility documentation applicable to the products you wish to purchase. Requirements can vary by product.
Can I place an order before submitting my documents?
Yes. You may place an order, but restricted products will not be released for shipment until the required documentation has been received and approved.
Do I need to submit documents every time I order?
Generally, no. Once approved, your current authorization information is kept on file. Updated documents may be required if credentials expire or account or facility information changes.
How do I send my documents?
Email them to service@mohawkmedicalmall.com or fax them to 315-797-0365, Attn: Restricted Authorization.
Need Help?
If you’re unsure which documentation applies to your order, contact our customer service team.
Call: 855-366-4295
Email: service@mohawkmedicalmall.com
Customer service hours are Monday–Friday, 8:30 AM–5:00 PM Eastern.