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AVAILABLE IN UNITED
STATES ONLY
Services not available
in Arkansas, Illinois, or Florida
You can choose to fill your prescription
and your local United States pharmacy.
In addition you can choose either
Regular or 24 hour Express Service:
You can choose to receive a written
prescription and fill your prescription at most any local United
States pharmacy of your choice or EXPRESS service and have your prescription
called into the local United States pharmacy of your choice.
Our prescriptions can only be
filled at a local United States pharmacy of your choice, they can not be
filled at internet or foreign or Canadian or internet versions of pharmacies.
If you would prefer to receive your medication by mail you can choose to
have your prescription faxed to one of two approved local United States
pharmacies that will mail your medication directly to you. The pharmacy
will contact you and fill the prescription and mail the medication directly
to you. (Medical Wellness Center has no
financial ties to either of these pharmacies. They were chosen for
their outstanding customer service, excellent compounding expertise, and
reliability. They only dispense 100% FDA approved manufactured medications.)
Medical Wellness
Center does not sell or dispense any medications and we are not affiliated
with any pharmacies. For pricing and price comparisons, you need
to contact the pharmacy directly.
1. First choose whether
you want to fill you prescription at your local U.S. pharmacy or at Murray
Avenue Apothecary . Choose only ONE of
these two choices.
Prescription
filled at your local United States pharmacy:
Choose
to fill prescription at your local pharmacy: Please
check here if you are choosing to fill your prescription at your local
United States pharmacy. If you want to purchase your prescription
from your local pharmacy, you then can select whether you want Regular
service and wait 7-15 days to receive your written prescription by mail
or whether you want Express service and your prescription is called
into your local pharmacy in approximately 24 hours.
Murray Avenue Apothecary:
412-421-4996
Murray Avenue Apothecary is a specialized
compounding pharmacy. This pharmacy has excellent pricing, especially for
medications that are not covered by insurance or for those who do not have
insurance. Please check FIRST with the pharmacy in regards to pricing
of the medication. Only if you are choosing to fill your prescription
online and have Murray Avenue Apothecary ship the medication to you
check below:
Authorized
Murray Avenue Apothecary to fill prescription: Please
check here authorizing Murray Avenue Apothecary to fill your prescription.
Your medication will be shipped directly to your shipping address that
you provided to the pharmacy and you will be billed by Murray Avenue Apothecary
for the medication . Medical Wellness Center will only bill you for the
online consultation fee.
If you have any questions in
regards to shipping status and tracking information you need to contact
the pharmacy directly: Murray Avenue Apothecary 412-421-4996.
2. Next after making
this selection then choose whether you want regular service (7-15 days)
or Express 24 hour service.
REGULAR
SERVICE: Consult reviewed within approximately 3-7 business days
and your will receive a written prescription by mail in approximately 7-
15 days which you can take to most any local United States pharmacy of
your choice and fill or prescription faxed to Murray Ave Apothecary in
3 -7 business days. Processing fee $10.35
EXPRESS
SERVICE: Consult
reviewed and prescription within approximately 24 hours called into most
any local United States pharmacy of your choice or faxed to Murray Avenue
Apothecary. Express processing fee
$20.
Please
check here if you are requesting our EXPRESS review and
processing of your medical evaluation. If approved your
prescription will be called into your LOCAL United States pharmacy
of your choice within 24 hours. If you checked yes and you are approved
you will be billed a $20 express processing fee.
IF YOU ARE
REQUESTING EXPRESS SERVICE CALLED INTO A PHARMACY MAKE SURE YOU ENTER THE
NAME, ADDRESS AND PHONE NUMBER OF YOUR LOCAL UNITED STATES PHARMACY BELOW
If you are requesting express
service, please enter complete phone# including area code, name and address
of pharmacy where you choose to fill your prescription. If you are
selecting Murray Avenue Apothecary just write in your choice, you
do not need to include phone number. The prescription can only
be called into your local U.S. pharmacy. It can not be called in,
faxed or filled at an internet pharmacy, foreign pharmacy, Canadian pharmacy
or pharmacies such as Drugstore.com or an internet version of a local pharmacy
such as CVS.com etc.
By submitting this consultation form, I certify: |
I
am am an adult 18 years of age or older.
I
have read and agree to Waiver of Liability.
I
understand the side effects of this medication and adverse effect.
I
understand that Aldara Cream is not to be used by anyone under the age
of 18, anyone with advanced HIV disease, anyone with a severely compromised
immune system.
I
understand that that pregnant and nursing mothers should not use Aldara
Cream because there are not sufficient studies and I am not pregnant or
nursing.
I
am aware that in order to be eligible to receive a Rx, I must have been
positively diagnosed to suffer from genital warts, and I need to inform
my doctor that I am using Aldara cream. I assume the responsibility for
telling my primary physician about the prescription I receive from Medical
Wellness Center.
I
do not have any of the contraindications to therapy: I do NOT have advanced
HIV. I do NOT have a severely compromised immune system. I am NOT pregnant
or breast feeding. I am not concurrently using another topical medication
to the genital/perianal area.
I
understand that if I am an uncircumcised male, there is a risk of scarring
and stricturing which may ultimately lead to circumcision if Aldara cream
is applied under the foreskin and I FAIL to daily retract the foreskin
and thoroughly wash and dry the area.
I
understand that Aldara cream is to be used EXTERNALLY ONLY! It is not to
be used internally in the cervical area, vagina, rectal, or urethra.
I
do not have a current prescription for Aldara from another physician,
and I will not combine this genital warts treatment, Aldara, with
any other topical treatments for genital warts or genital herpes.
I
understand that my credit card will be billed $49.95 and $10.35 S &
H for the medical consultation if approved (no refunds for this consultation
service), if not approved there is no charge. I understand that by
submitting this form I agree to pay the $49.95 consultation
(plus S & H) if approved and understand that there are no refunds for
any circumstances even if I later change my mind and decide not to
use the medication for any reason.
Please
check here if you are requesting our EXPRESS review
(available in the United States only) and processing of your medical
evaluation. If approved your prescription will be called into
a local U.S. pharmacy of your choice within approximately 24 hours.
If you checked yes and you are approved you will be billed a $20
express S & H processing fee.
I
certify that I have answered all the questions truthfully and
I understand that by clicking submit I agree to all the terms and conditions
including that my credit card will be charged for the consultation if approved.
Once submitting this consultation I can not receive a credit for the consultation
service if I for any reason change my mind and no longer choose to use
the medication. |
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To
contact Medical Wellness Center -with any questions, please Email us. |
PHONE NUMBER:
(US ONLY) |
617-367-8887 |
Medical Wellness Center
Boston, MA
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