Apply for a Wholesale Botox® & Dermal Filler Account in Texas

Get wholesale prices on FDA-approved Botox®, Xeomin®, Juvederm®, Radiesse®, and other products that are exclusively for Texas’s licensed medical professionals.

At DeWitt Pharma, we provide wholesale Botox, Xeomin, Juvederm, Belotero, and Radiesse fillers in Texas to licensed medspas, dermatologists, and physicians.

Because compliance and safety are our priority, all accounts are verified before approval.

With a Provider Account, you’ll gain:

Wholesale pricing on Botox, Xeomin, and dermal fillers

Access to FDA-approved products through verified channels

Cold-chain shipping for product integrity

Protection against counterfeit injectables

Dedicated account support for your practice

Application Form

Please complete the form below with your practice and provider details to apply for account approval.

Practice Information

Practice / Clinic Name

Practice Address

City / State

Phone Number

Website

Provider Verification

Physician / Medical Director Name

DEA Number

NPI Number

State Medical License #

Copy of medical license

Account Contact

Contact Person Name

Email Address

Email Phone Number

I confirm that my practice is licensed to purchase and administer FDA-approved aesthetic products.

I agree to provide verification documents for account approval.

Compliance Note

👉 Applications are reviewed and approved only for licensed medical professionals. Verification of DEA/NPI/license information is required before account activation.

Not Ready to Apply? Join Our Provider Waitlist

If your practice isn’t ready to apply, join the DeWitt Pharma Waitlist and we’ll notify you as soon as our catalog launches.

Wholesale Botox & Fillers — Serving Dallas, Houston, Austin & San Antonio

DeWitt Pharma supports medical professionals across Texas with safe, compliant, and legal access to Botox®, Xeomin®, Juvederm®, Radiesse®, and other dermal fillers at wholesale pricing.