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Submit Your Order

Submit your order details here. Please note you must upload your prescription for proof that you are entitled to this medication.
Use the "requested items" box to request any items not listed on the main prescription page.

Prescriptions - Order Details

Maximum file size: 5MB

You must upload a scan or photo of your prescription in order for us to process your order. Please note that you will still need to mail your prescription to us before we ca send post your prescription to your address.

Additional Items

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