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| Do
you have any known drug allergies?
If yes, please list in the box provided:
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| Are
you currently taking any other prescriptions
and/or over the counter medications?
If yes, please list in the box provided:
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| Has
your health changed in any way?
If yes, please explain in the box provided:
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| Your
approved Xenical® prescription entitles
you to your original order plus four
(4) additional refills at this time
or over the next twelve (12) months.
Please check the box below to indicate
your order.
Xenical® 120 mg Tablets
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| One
month supply (90
tablets) $140
+ $18 shipping
Total = |
$158 |
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Two
month supply (180
tablets) $280 + $18
shipping
Total = |
$298 |
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Three
month supply (270
tablets) $420 + $18
shipping
Total = |
$438 |
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International
orders are $46 to ship. If you
choose to ship your order outside the
U.S., you are assuming all liability
for any customs, duties or tariffs.
If for some unforseen reason your order
is seized by customs, we are unable
to refund your money. By selecting
International shipping, you are agreeing
with these terms. Note:
International orders please add an additional
$28.00 to the above totals (difference
between $46 and $18).
Secure
Ordering Process
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| Enter
any special instructions:
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| How
did you hear about us?
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| Next,
simply click on the following "Submit"
button
and we will process your Xenical order:
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