• Pharmacy Seasonal Medications Order Request Form

    Submit your pharmacy's seasonal medications order. Please provide accurate details to ensure prompt and correct delivery.
  • Format: (000) 000-0000.

  • Select Seasonal Medications to Order

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                Allergy Relief Tablets

                Antihistamine tablets for seasonal allergies (30-count pack)

                $18.50$18.50
                  
                Cough & Cold Syrup

                Non-drowsy syrup for cough and cold symptoms (200ml)

                $12.99$12.99
                  
                Nasal Decongestant Spray

                Fast-acting nasal spray for congestion relief (15ml)

                $9.75$9.75
                  
                Vitamin C Chewables

                Immune support chewable tablets (100-count)

                $15.00$15.00
                  
                Children's Fever Reducer

                Liquid fever reducer for children (120ml)

                $11.50$11.50
                  
                Throat Lozenges

                Soothing lozenges for sore throat (pack of 24)

                $8.20$8.20
                  
                Total
                $0.00$0.00
              • Preferred Delivery Date*
                 - -
                2 digit month, 2 digit day, 4 digit year
              • Delivery Preference*
              • Order Urgency Level*
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