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MicromedexOrder/Refill
 
Pharmacy Order/Refill


Please enter the drug you would like to order:
First-Time Order: Yes No
Dosage:
How many times per day medication taken:
Do you want a generic brand?    Yes No

So, that we can check for any incompatibilities, please enter your current medications:

Name:
Dose:
Frequency:
Any drug allergies:

If this is a new prescription, Medtreon will need to confirm this order with your physician:

Name:
Address:
Phone:
Fax:
email:

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