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FORMS
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RENEWAL INTAKE
Renewal Intake
Quiz Details
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Date Created
Dec 19 @ 04:34 pm
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Last Change
Dec 20 @ 05:25 am
General
Quiz Overview
Questions
Variations
Billing Models
Packages
AVAILABILITY
Restrictions
Supported States
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Overview
Medication main data
Active
Doctor Network
MDI
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ED Intake
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ED Renewal Intake
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Pharmacy
Curexa
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Curexa
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Epiq Scripts
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Display Name
price, $
Pharmacy
Curexa
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Trazodone 56mg/Melatonin 3mg Troche
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Sildenafil 40 mg / Tadalafil 8 mg
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Sildenafil 80 mg / Tadalafil 17 mg
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Dispense Unit
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Tablet
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Troche
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Blister
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Kit
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Lozenge
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Dispense Unit Quantity
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Description
Pack of 6 tabs. 80mg sildenafil, 17mg tadalafil. Recommended if you’ve tried alternative ED medications. The doctor reviewing your case will determine if this dose (or another) is appropriate.
Product Description
Billing Models
Select available billing models
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Billing Type
Discount, %
One-Time Purchase
Monthly, 1 month
Monthly, 2 month
Monthly, 3 month
Monthly, 6 month
Annual, 12 months
Packages
Product variations to select
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HEADING
Dispense Unit
6 tabs (1 pack)
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6 tabs (1 pack)
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12 tabs (2 pack)
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18 tabs (3 pack)
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QUANTITY
DAYS SUPPLY
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HEADING
Dispense Unit
12 tabs (2 packs)
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6 tabs (1 pack)
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12 tabs (2 pack)
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18 tabs (3 pack)
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QUANTITY
DAYS SUPPLY
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Restrictions
Medication restrictions
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MAX Refill
4
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1
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2
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3
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4
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5
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Unsupported States
Restrict buying in some states
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Alaska
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South Carolina
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Alaska
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South Carolina
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