Please Quote Form

Please put down all known details of the product you wish to purchase - brand and generic name, strength or potency, formulation, and quantity. Once we receive your form, we will check availability and price and provide a quote, including postage and handling, if needed. Prease review quote and all details and call the pharmacy to complete payment.

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Is it in a tablet, capsule, powder, liquid, cream, ointment, solution, tincture, or other form?
How many mg per dose or % or potency(mother tincture, x, c, m)
How many millilitres or grams or pills or capsules or tablets per unit?
Please specify how many units you wish to purchase.
Is it in a tablet, capsule, powder, liquid, cream, ointment, solution, tincture, or other form?
How many mg per dose or % or potency(mother tincture, x, c, m)
How many millilitres or grams or pills or capsules or tablets per unit?
Please specify how many units you wish to purchase.
This field is for additional products details or comments.
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Please note that we accept only direct deposit payments for International orders