Thursday, Sep 09th

Last update01:01:30 AM GMT

You are here: Order Form

Order Form

Please complete the form below and submit it for processing, OR

Click here for the fax version to send your order by Fax.


First Name (*)
Please enter your first name
Last Name (*)
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Day Time Phone (*)
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Evening Phone
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Address (*)
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State (*)
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Zip Code (*)
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Email (*)
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Do you want child resistant caps?
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Medication Being Ordered

Strength

Quantity
Generic
Substitution
Price in
US dollar
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      Shipping: $10.00
TOTAL:
Please total the order
 

  
Click here for the Fax version

The FDA, due to the current state of their regulations, has taken the position that virtually all shipments of prescription drugs imported from a Canadian pharmacy by a U.S. consumer will violate the law.

All Canadian prescriptions are filled by Glenway Pharmacy, licensed by the Manitoba Pharmaceutical Association, License # 32173 600-180 King Street, Winnipeg, MB Canada, R3B 3G8 Telephone: (toll free) 1-888-336-3424 Fax: (toll free) 1-888-336-3411