If Yes, fill out the required shipping information below.
Once we have received your request, we will email you a total & the link to our secure payment website. If you prefer not to pay online, please let us know in the 'Comments' section of this request and the pharmacy will contact you for payment information. If you are paying by Care Credit, please print payment options form and fax completed form to 919-513-6571.
Please note that requests made after 12 noon will not be shipped until the next business day.