XENICAL®
REFILL PROCESS
You
may order 90, 180 or 270 pills per prescription. Each prescription
is independent of the other. This allows you to order different
quantities for each refill. If you are a new patient and have
not completed a previous online consultation
click here.
To receive a refill please complete the following steps:
1. Read and agree to the Waiver of Liability.
2. Select the quantity of Xenical® pills.
XENICAL®
PRICES ARE AS FOLLOWS:
120
mg Xenical® Pills
| 90 |
120
mg |
tablets |
1 month
supply |
$140 |
| 180 |
120
mg |
tablets |
2 month
supply |
$280 |
| 270 |
120
mg |
tablets |
3
month supply |
$420 |
|
WAIVER
OF LIABILITY
I
hereby release www.xenical-fat-blocker.com and all of
their employees and contractors including physicians from all
liability associated with my Xenical® consultation and/or the
use of Xenical®. I understand that no physician, nurse or administrative
personnel can guarantee that Xenical®, even if prescribed, will
provide the results I seek. I hereby agree to answer truthfully
all of the medical questions during my consultation. I also
understand that if I fail in anyway to furnish www.xenical-fat-blocker.com
with my complete and accurate medical history or become aware
of any changes in the future which I have not notified www.xenical-fat-blocker.com
of than I cannot hold them responsible for any adverse effects
I may suffer.
I
realize obesity is associated with the following health conditions,
cardiovascular disease, strokes, diabetes, gallbladder disease,
certain types of cancer, gout (joint pain caused by excess uric
acid), osteoarthritis (deterioration of the joints), sleep apnea
(interrupted breathing during sleep) etc. Xenical® may assist
you with weight reduction but it does not treat these possible
associated conditions.
I
am fully aware that it is my responsibility to have an annual
physical exam, including any suggested laboratory test, to ensure
that I have no disease, which might make Xenical® inappropriate
for me. I also understand that this consultation is not a substitute
for my need to visit a local physician for my annual exam. I
further agree to notify all physicians, whose present care I
am currently under or any physician who I will engage in the
future of my decision to use Xenical® so they may advise to
continue or discontinue use of the medication.
I
understand Xenical® is indicated for obesity management including
weight reduction and weight management when used in conjunction
with a reduced caloric diet. The diet should be nutritionally
balanced and contain approximately 30% of the calories from
fat. I understand secondary to Xenical's® mechanism of action
there is a decrease in the absorption of the fat soluble vitamins
A, D, E, K and beta carotene, therefore physicians recommend
a daily supplemental multivitamin.
I
understand Xenical® can be taken in conjunction with a mildly
reduced choleric diet up to 3 times per day, the standard dose
is 120 mg. Finally, I understand a qualified and licensed physician
who may or may not be licensed to practice in my state will
evaluate the information I am providing.
If
approved, I irrevocably appoint www.xenical-fat-blocker.com
to be my agent and have my prescription and any refills filled
by the Pharmacy of its choice and acknowledge that the Rx obtained
for me is non-transferable.
We
are unable to accept returns or issue refunds for any order
due to the fact that this is a prescription medication.
Continue with my Xenical order (click here)