x
Internet Explorer does not support all modern web development technologies.

For the best experience please use a modern web browser such as Chrome, Firefox, Safari, or Edge.
+

EXCITING ANNOUNCEMENT FROM J&B MEDICAL:

J&B Medical is proud to announce our sister company, J&B Pharmacy Services. 

J&B Pharmacy services is now open and able to assist you with any of your prescription medication and pharmacy needs!

If you would like to inquire about receiving your prescription medications or pharmacy supplies from J&B Medical Pharmacy Services, click HERE: Pharmacy Account Creation – J&B Pharmacy Services to register now!

skip to main content
This is the start of the main content

Become a Member

Please complete this interactive form to get your account started.  Once submitted, one of our Customer Service specialists will be in contact with you soon.

Patient Information
Parent/Guardian/Responsible Party
Billing/Contact Address
Shipping Address
Caregiver
Prescribing Physician
Insurance
Subscriber Information
Subscriber Address
Subscriber Information
Subscriber Address
Product Selections
Condition Questions
On the back of your device, look for the letters "SN" (which stands for serial number). Your serial number will be a series of numbers and/or letters after the "SN".
Out of warranty information can be obtained by calling the manufacturer of your insulin pump (their number is typically listed on the back of your insulin pump).
On your product packaging, look for the letters "REF" (which stands for reference number). Your reference number will be a series of numbers and/or letters after the "REF".
On your product packaging, look for the letters "REF" (which stands for reference number). Your reference number will be a series of numbers and/or letters after the "REF".
Are the following supplies needed for the pump?
CGM Supplies
CGM Transmitter
This information can be obtained by calling the manufacturer's number on the device.
CGM Receiver
This information can be obtained by calling the manufacturer's number on the device.
Are the following supplies needed for the CGM?
Breast Pumps
Ready to continue?