<SUBMISSION>
<ACCESSION-NUMBER>0001179110-08-018357
<TYPE>4
<PUBLIC-DOCUMENT-COUNT>1
<PERIOD>20080910
<FILING-DATE>20081021
<DATE-OF-FILING-DATE-CHANGE>20081021
<REPORTING-OWNER>
<OWNER-DATA>
<CONFORMED-NAME>Shah Ameet
<CIK>0001428696
</OWNER-DATA>
<FILING-VALUES>
<FORM-TYPE>4
<ACT>34
<FILE-NUMBER>000-33165
<FILM-NUMBER>081133164
</FILING-VALUES>
<BUSINESS-ADDRESS>
<PHONE>(212) 288-9920
</BUSINESS-ADDRESS>
<MAIL-ADDRESS>
<STREET1>545 FIFTH AVENUE
<STREET2>SUITE 1109
<CITY>NEW YORK
<STATE>NY
<ZIP>10017
</MAIL-ADDRESS>
</REPORTING-OWNER>
<ISSUER>
<COMPANY-DATA>
<CONFORMED-NAME>Assured Pharmacy, Inc.
<CIK>0001100592
<ASSIGNED-SIC>5912
<IRS-NUMBER>980233878
<STATE-OF-INCORPORATION>NV
<FISCAL-YEAR-END>1231
</COMPANY-DATA>
<BUSINESS-ADDRESS>
<STREET1>17935 SKY PARK CIRCLE
<STREET2>SUITE F
<CITY>IRVINE
<STATE>CA
<ZIP>92614
<PHONE>949-222-9971
</BUSINESS-ADDRESS>
<MAIL-ADDRESS>
<STREET1>17935 SKY PARK CIRCLE
<STREET2>SUITE F
<CITY>IRVINE
<STATE>CA
<ZIP>92614
</MAIL-ADDRESS>
<FORMER-COMPANY>
<FORMER-CONFORMED-NAME>ERXSYS INC
<DATE-CHANGED>20030916
</FORMER-COMPANY>
<FORMER-COMPANY>
<FORMER-CONFORMED-NAME>SURFORAMA COM INC
<DATE-CHANGED>20001128
</FORMER-COMPANY>
</ISSUER>
<DOCUMENT>
<TYPE>4
<SEQUENCE>1
<FILENAME>edgar.xml
<DESCRIPTION>FORM 4 -
<TEXT>
<XML>
<?xml version="1.0"?>
<ownershipDocument>

    <schemaVersion>X0303</schemaVersion>

    <documentType>4</documentType>

    <periodOfReport>2008-09-10</periodOfReport>

    <notSubjectToSection16>0</notSubjectToSection16>

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        <issuerTradingSymbol>APHY</issuerTradingSymbol>
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        <reportingOwnerAddress>
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            <rptOwnerState>NY</rptOwnerState>
            <rptOwnerZipCode>10017</rptOwnerZipCode>
            <rptOwnerStateDescription></rptOwnerStateDescription>
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        <reportingOwnerRelationship>
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            <isOfficer>0</isOfficer>
            <isTenPercentOwner>0</isTenPercentOwner>
            <isOther>0</isOther>
            <officerTitle></officerTitle>
            <otherText></otherText>
        </reportingOwnerRelationship>
    </reportingOwner>

    <nonDerivativeTable></nonDerivativeTable>

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                <value>2009-09-10</value>
                <footnoteId id="F4"/>
            </expirationDate>
            <underlyingSecurity>
                <underlyingSecurityTitle>
                    <value>Common Stock</value>
                </underlyingSecurityTitle>
                <underlyingSecurityShares>
                    <value>374875</value>
                </underlyingSecurityShares>
            </underlyingSecurity>
            <postTransactionAmounts>
                <sharesOwnedFollowingTransaction>
                    <value>374875</value>
                </sharesOwnedFollowingTransaction>
            </postTransactionAmounts>
            <ownershipNature>
                <directOrIndirectOwnership>
                    <value>I</value>
                </directOrIndirectOwnership>
                <natureOfOwnership>
                    <value>By managed accounts</value>
                    <footnoteId id="F1"/>
                </natureOfOwnership>
            </ownershipNature>
        </derivativeTransaction>
        <derivativeTransaction>
            <securityTitle>
                <value>Warrants to Purchase Common Stock</value>
            </securityTitle>
            <conversionOrExercisePrice>
                <value>0.8</value>
            </conversionOrExercisePrice>
            <transactionDate>
                <value>2008-09-10</value>
            </transactionDate>
            <transactionCoding>
                <transactionFormType>4</transactionFormType>
                <transactionCode>J</transactionCode>
                <equitySwapInvolved>0</equitySwapInvolved>
                <footnoteId id="F5"/>
            </transactionCoding>
            <transactionAmounts>
                <transactionShares>
                    <value>374875</value>
                    <footnoteId id="F5"/>
                </transactionShares>
                <transactionPricePerShare>
                    <value>0</value>
                    <footnoteId id="F5"/>
                </transactionPricePerShare>
                <transactionAcquiredDisposedCode>
                    <value>A</value>
                </transactionAcquiredDisposedCode>
            </transactionAmounts>
            <exerciseDate>
                <value>2008-09-10</value>
                <footnoteId id="F5"/>
            </exerciseDate>
            <expirationDate>
                <value>2010-09-10</value>
                <footnoteId id="F5"/>
            </expirationDate>
            <underlyingSecurity>
                <underlyingSecurityTitle>
                    <value>Common Stock</value>
                </underlyingSecurityTitle>
                <underlyingSecurityShares>
                    <value>374875</value>
                </underlyingSecurityShares>
            </underlyingSecurity>
            <postTransactionAmounts>
                <sharesOwnedFollowingTransaction>
                    <value>374875</value>
                </sharesOwnedFollowingTransaction>
            </postTransactionAmounts>
            <ownershipNature>
                <directOrIndirectOwnership>
                    <value>I</value>
                </directOrIndirectOwnership>
                <natureOfOwnership>
                    <value>By managed accounts</value>
                    <footnoteId id="F1"/>
                </natureOfOwnership>
            </ownershipNature>
        </derivativeTransaction>
    </derivativeTable>

    <footnotes>
        <footnote id="F1">Ameet Shah is Managing Partner of Mosaic Capital Advisors, LLC (&quot;MCA&quot;).  MCA is owned by Mr. Shah and another investor and is the investment advisor to several hedge funds and private equity funds, including certain funds to which GP is the general partner.  MPE General Partner, LLC (&quot;GP&quot;) is owned by Mr. Shah and another investor.  GP is a general partner or investment manager in a number of partnerships and funds, including partnerships and funds which hold Issuer's securities and for which MCA is the investment advisor.  Mosaic Financial Services, LLC (&quot;MFS LLC&quot;) is wholly-owned by MCA.  The reporting person disclaims beneficial ownership of these shares except to an extent of the reporting person's pecuniary interest in the shares.</footnote>
        <footnote id="F2">No reportable transactions have occurred in connection with these holdings. The date, transaction code, acquisition code and price are included only because information is required to be entered into those columns to file this form. The listed transaction date is the date the last Form 4 was signed.</footnote>
        <footnote id="F3">By letter dated September 19, 2008, the Scheduled Maturity date of the Convertible Debentures was extended to October 31, 2008. The listed expiration date is the scheduled maturity date of the Convertible Debenture. The unpaid principal due under the Convertible Debenture may be converted into Issuer Common Stock prior to payment of such principal (whether before or after the scheduled maturity of the Convertible Debenture).</footnote>
        <footnote id="F4">These $0.60 warrants are issuable in the future upon conversion of the Convertible Debentures. The dates listed in the Date Exercisable and Expiration Date columns relate to the date of issuance of the underlying Convertible Debenture. The warrants are exercisable for a 1 year period from the date of their future issuance, which may vary from the date listed in the Date Exercisable and Expiration Date columns.</footnote>
        <footnote id="F5">These $0.80 warrants are issuable in the future upon conversion of the Convertible Debentures. The dates listed in the Date Exercisable and Expiration Date columns relate to the date of issuance of the underlying Convertible Debenture. The warrants are exercisable for a 2 year period from the date of their future issuance, which may vary from the date listed in the Date Exercisable and Expiration Date columns.</footnote>
        <footnote id="F6">In exchange for financing, convertible debentures dated September 10, 2008 in the original principal amounts of $400,000 and $299,900 were issued by Issuer.</footnote>
    </footnotes>

    <remarks>Filing 2 of 2</remarks>

    <ownerSignature>
        <signatureName>/s/ Ameet Shah</signatureName>
        <signatureDate>2008-10-20</signatureDate>
    </ownerSignature>
</ownershipDocument>
</XML>
</TEXT>
</DOCUMENT>
</SUBMISSION>
