Rachel Campbell Telliard - ClientID #187478

Insert New Comment ASANA Blank space

SENT HISTORY
Decapeptyl 3.75mg (107)
Sep 15, 2024 x 2

Click to View RX Add New Line

RX Date Drug Size Total on RX # Left Abilify Accutane Aciphex Acomplia Actigall Acti-Plus Active Guard Activella Actonel Actos Adempas Advair Advil, Nurofen Afinitor Aflumycin Aggrenox Agiserc Agisten Akineton Akne Mycin Alcaine Aldactone Aldara Allegra Alphagan P Altace Altafrin Alvesco Amandin Amaryl Ambisome Amerge Amitiza Ampyra Anafranil, Anafranil SR Androcur AndroFeme AndroForte Androgel Angelique Anoro Ellipta Antagon Anti-Virus Products Antrolin Aptiom Aquadon Aquos Ointment Aranesp Arava Arcoxia Aricept Arimidex Armour Thyroid Armour Thyroid Arnuity Ellipta Aromasin Artane Arthrotec Asacol Asmanex Aspirin Astelin Atacand Atarax Atrovent Hfa Aubagio Augmentin Aura Portable Nebulizer Avalide Avandia Avapro Avelox Aventyl Avodart Avonex Axera Aygestin Azarga Azilect Azopt Azulfidine B Neurol Kosher Bactrim , Septra Bactroban Balversa Baraclude Beconase Belara Benicar Benicar Plus Benzaclin Betacorten Betapace Betoptic-S Bevespi Bezalip Biafine Biaxin, Klacid Biktarvy Bonviva Bosulif Botox Bravelle(10Vials) Breo Ellipta Breztri Bricanyl Brilinta Briviact Broncholate Plus Buspar Bystolic Calctriol, Alpha D3 Calma Guard Combo Pack Calmanervin Calquence Capoten Carafate Carbatrol Carbolith Cardizem,Cardizem SR Cardura Casodex Cataflam Catapres Caverject Ceftin Celebrex Celexa Cellcept Cequa Cerazette Cetrotide Chantix Chizukit Forte Chlor-Trimeton Cialis Ciloxan Cipro Circadin Clarinase Clarinex Claritin Cleocin Cleocin T Climara Climex Clomid Cloth Mask Colcrys Colestid Collagenase Santyl Ointment Combigan Combivent Respimat Combivir Comtan Condylox Copaxone Co-Q10 Coralan, Servier Cordarone Coreg Cortrosyn Cosopt COViD Antigen Rapid Test Cozaar Credit Creon Creon Crestor Crinone Gel Crixivan Crolom Cryselle Cyanocobalamin Cyclogyl Cyclomen Cymbalta Cytomel Cytotec Daktarin Daliresp Danocrine Daonil Darvacet Dead Sea Creams Decapeptyl Decapeptyl Defender Plus Demadex Denavir Depakote Depalept Chrono Depo-Provera Dermacombin Desogen Desonide Desyrel Detrol LA Dexamethasone Dexamol Cold And Flu Diacerein Diamilla Diamox Diane Dibenzyline Diclegis Diflucan Dilantin Diovan Diovan HCT Diprolene Ditropan Dostinex Dovato Dovobet Ointment Dovonex Doxil Liposomal Duaklir Duavee Dulera Duoneb Dupixent Durezol Dymista Dynacin Edarbi Edronax Effexor Effexor XR Effient Efudix, Efudex Elavil Elidel Eliquis Ella Elmiron Elocon Elonva Emend Emla Emtrix Enbrel Endometrin Enovid Entocort EC Entresto Epinephrine Epipen Epivir Erleada Eroxon Erythromycin Erythromycin Esbriet Esedrix, Hydrodiuril Estrace Estrace Estraderm Estradot Estring Estrogel Topical Gel Eucrisa Evenity Eviana Eviana_OLD Evista Evorel Conti Evorel Sequi Evra Excedrin Migraine Exelon Exforge Exipan Exparin Fake Drug Farxiga Fastum Gel Fedex Refrigerated Shipping Femara Fetzima Finacea - Azelex Flagyl Flagyl Gel Flector Patch Flomax Flonase Spray Flora Q2 - Probiotics Flovent Flovent Hfa Floxin Fluanxol Fluoroplex FML Folic Acid Follistim Follistim Pen (Re-Usable) Foradil , Oxis Forteo Fosamax , Fosavance Fostair Fragmin Freestyle Lite Test Strips Frova Fucicort Cream Gaviscon Genotropin Genteal Geodon Gilenya Gleevec Glipizide Glovan Glucagen Glyxambi Gonal F Gonal F Multidose Gynera Gynoflor Gynorest Haldol Hand Delivery In Jeruaslem Harmonet Herbal Cleanser - Dr Saker Humalog Humira Hycomycin Hydrocortizone Cream Hylo-Comod Hytrin Hyzaar Ibrance Ilevro Imbruvica Imitrex , Imigran Imitrex Spray Imodium Imuran Incivek Incruse Inderal Indocid Inlyta Inositol Plus Inotyol Ointment Inspra Insulin Pen Needle Tips Intrarosa Invega Trinza Invokana Iopidine Isenrtess Isoptin Israeli Flag Istalol, Tiloptic Itraconazole Jakafi Jalyn Janumet Janumet XR Januvia Jardiance Jaydess Jorveza Jublia Kali Tzom Fasting Pills Kapidex , Dexilant Kayexalate Powder Keflex Kemadrin Kenacort Keppra Kerendia Ketotifen Kisqali Klisyri Kloniopin, Clonex, Rivotril KN95 Mask with Filter Kombiglyze XR Kyleena Kytril Lamictal Lamisil Lanoxin Lantus Lasix Latuda Lemocin Leqvio Lescol Leshcutan Ointment Leucovorin Levaquin Levemir Levitra Lexapro Lexiva Librax Linzess Lipitor Liptruzet Livalo Localin Loceryl Lodine,Lodine XL Lodotra Lokelma Lomotil Loniten Lopressor Losec OTC Lotemax Lotensin Lotrisone Lovaza Lovenox Lozol Ludiomil Lumigan Lupron 2 Week Kit Lupron, Lucrin Luveris Luvox Lynparza Lyrica Lysodren Lysteda Macrobid Magnesium Sulphate Malarone Marcaine Maxalt Medrol Mei Test Mekinist Mektovi Menopur Menopur (Turkey) Mentax Mercilon Mestinon Metanx Metformin Methergine Methimazole Methotrex Mezavant XL Miacalcin Micardis Microgynon Midro Tea Minesse MIniPill, Microlut Minirin, DDAVP Minocin Mirapex Mircette Mirena Mirvaso Modal Moduret Monopril Monovisc Monurol Motegrity Motilium Mounjaro Movantik Mucolit Multaq Muscol Muse Mycamine Mycobutin MycoFormulas Endurance MycoFormulas Immune MycoFormulas Memory Mydriacyl Myleran Myrbetriq Mysoline Namenda Namzaric Naprosyn Nasacort Aq Nasonex Natazia Nebido Neomycin Neoral Neudexta Neupro Neurontin Nevanac Nexavar Nexium Nexletol Nexlizet Nexlizet Nexplanon Niacin Niaspan XR Nimesil Nimotop Nitrolingual , Nitro Patch Nizoral Nocdurna Nolvadex Nolvadex-D Nootropil Norditropin Noritate Norpace Norpramin Norvasc Nosterol Nova T Novarel Vial for Injection Novofem Novofine Novolog Noxafil NP Thyroid Nuedexta Nurofen Plus Nurofen Plus Nurtec Nuvaring Ofev Olumiant Omnaris Onfi Onglyza Optalgin Opti Free Oracea Oracort Orilissa Ortho Cyclen Orthovisc Orudis Otezla Otrimer Otrivin Ovestin Ovidrel Ozempic Paper Surgical Mask Parlodel Patanol Pavadyl Paxil Peglax Penlac Pentasa,Canasa Pepcid Pepto Bismol Pergoveris Periostat Persantine Pevaryl Phyllotex Pico-Salax Plaquenil Plavix Plendil Postinor Pradaxa Praluent Pramin Prandin Pravachol Precose Pred Forte Prednisone Premarin Premarin Vaginal Cream Prempro Prevacid Prilosec Pristiq Prizma Proamatine Procardia XL,Adalat Procto Glyvenol Procto Oblipicha Proctofoam HC Proctozorin ProFeme Progesterone in oil Prograf Progyluton Prolensa Proleukin Prolia Prolutex Prometrium Propecia Propine Proscar Protelos Protonix Protopic Provera Provigil Prozac Prudac Pulmicort Purinethol Qnasal Quad Mix Questran Quibron Quinine Qulipta Qvar R95 Rafael Bountiful Milk Rafael Hot And Cold Pads For Engorgement Rafael Nursing Mothers Ointment Rafael Pure Hypoallergenic Lanolin Rafael Raspberry Leaf Tincture Ranexa Rapaflo Rapamune Razadyne Reclast Rectogesic Rectozorin Rekovelle Relafen Relistor Relpax Remeron, Zisprin Remicade Reminyl Rennie Renova Renvela Reolin Repatha Repronex Requip Reship Restasis Retrovir Revatio Revlimid Revolade Rexulti Reyataz Rhinocort Aqua Nasal Spray Ridaura Rinvoq Risperdal Rogaine Topical Rokacet Rokal Ryaltris Rybelsus Ryeqo Rythmol Sabril Saflutan Saizen Salagen Saline for Inhalation Saline Injection Sambucol Samsca Sanctura Saphris Savaysa Savvy Check Saxenda Seasonique Sebivo Sectral Selincro Selsun Shampoo Sensipar Serevent Seroquel Seroquel XR Sibelium Silenor Silvadene Simbrinza Sinemet CR Sinequan Singulair Sinutab Skyrizi Slow-K Smoke Out Solgar Multi Male Solian Soliqua Soriatane Sovaldi Spiriva Sprycel Stalevo Steglatro Stelara Stieprox Shampoo Stiolto Stocrin Strattera Strepsils Stress Stop Stud 100 Stunarone Sulfazine Sunscreen Superlas Sutent Swiss Relief Symbicort Turbuhaler Symmetrel Synarel Spray Synjardy Synthomicine Synthroid Synvisc Syringes for GLP-1 Syringes for Mounjaro Systane Taffix Tafinlar Tagrisso Tambocor Tamiflu-NA Tarceva Targretin Tazorac Tecfidera Tegretol Tegretol CR Tekturna Temovate , Olux Tenormin Teva-Cold Thorazine Tirzepatide Compound Tobradex Tofranil Tonight Topamax Topisalen Toujeo Toviaz Tradjenta Tramadol Tramadol ER Trandate Traumeel Travatan Travocort Tredaptive Trelegy Ellipta Trental Tricor Trilafon Trileptal Trimbow Trimix Trintellix Trizivir Trulance Trulicity Trusopt Truvada Tudorza Tylenol Tylenol Cold Ubrelvy Uceris Rectal Foam Uloric Ultibro Breezhaler Undecyl Univasc Uroxatral UtiPro Plus Vagifem Vagiflora Valcyte-NA Valtrex Vancocin Vaniqa Cream Vascepa Vasodip Vasodip Combo Vasotec Vayacog Vayarin VCF Vaginal Contraceptive Film Velphoro Veltassa Venclexta Ventolin Veozah Veramyst Vermox Verquvo Verrumal Verzenio Vesanoid Vesicare Vfend Viagra Viagra Cialis OTC Vibramycin Victoza Victrelis Vigamox Viibryd Vimpat Viread Vitamin C Vitamin D Vitamin D Drops VItamin E Vitaros Cream Vivelle Voltaren Emulgel Voltaren Eye Drops Voltaren Tablets Voltaren Tablets Votrient Vraylar Vytorin Vyzulta Warfarin Wegovy Wellbutrin XL, Zyban Xalatan Xalkori Xarelto Xeljanz Xeloda Xenazine Xenical Xgeva Xifaxan Xigduo Xiidra Xolair Xylovit Spray Yasmin Yaz Zaditor Zanaflex Zantac Zaroxolyn Zavesca Zebeta Zelboraf Zemplar Zestril Zetia Ziagen Zioptan Zirgan Zithromax Zocor Zofran Zoladex Zoloft , Lustral Zomig Zoomind Zoprotec Zovirax Zovirax Zylet Zyloprim Zyprexa Zyrtec Zytiga 0.1 mg / 1 ml 11.25mg 3.75mg 1 PRN 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 100 101 102 103 104 105 106 107 108 109 110 111 112 113 114 115 116 117 118 119 120 121 122 123 124 125 126 127 128 129 130 131 132 133 134 135 136 137 138 139 140 141 142 143 144 145 146 147 148 149 150 151 152 153 154 155 156 157 158 159 160 161 162 163 164 165 166 167 168 169 170 171 172 173 174 175 176 177 178 179 180 181 182 183 184 185 186 187 188 189 190 191 192 193 194 195 196 197 198 199 200 201 202 203 204 205 206 207 208 209 210 211 212 213 214 215 216 217 218 219 220 221 222 223 224 225 226 227 228 229 230 231 232 233 234 235 236 237 238 239 240 241 242 243 244 245 246 247 248 249 250 251 252 253 254 255 256 257 258 259 260 261 262 263 264 265 266 267 268 269 270 271 272 273 274 275 276 277 278 279 280 281 282 283 284 285 286 287 288 289 290 291 292 293 294 295 296 297 298 299 300 301 302 303 304 305 306 307 308 309 310 311 312 313 314 315 316 317 318 319 320 321 322 323 324 325 326 327 328 329 330 331 332 333 334 335 336 337 338 339 340 341 342 343 344 345 346 347 348 349 350 351 352 353 354 355 356 357 358 359 360 361 362 363 364 365 366 367 368 369 370 371 372 373 374 375 376 377 378 379 380 381 382 383 384 385 386 387 388 389 390 391 392 393 394 395 396 397 398 399 400 401 402 403 404 405 406 407 408 409 410 411 412 413 414 415 416 417 418 419 420 421 422 423 424 425 426 427 428 429 430 431 432 433 434 435 436 437 438 439 440 441 442 443 444 445 446 447 448 449 450 451 452 453 454 455 456 457 458 459 460 461 462 463 464 465 466 467 468 469 470 471 472 473 474 475 476 477 478 479 480 481 482 483 484 485 486 487 488 489 490 491 492 493 494 495 496 497 498 499 500 501 502 503 504 505 506 507 508 509 510 511 512 513 514 515 516 517 518 519 520 521 522 523 524 525 526 527 528 529 530 531 532 533 534 535 536 537 538 539 540 541 542 543 544 545 546 547 548 549 550 551 552 553 554 555 556 557 558 559 560 561 562 563 564 565 566 567 568 569 570 571 572 573 574 575 576 577 578 579 580 581 582 583 584 585 586 587 588 589 590 591 592 593 594 595 596 597 598 599 600 0     Select Drug Name Abilify Accutane Aciphex Acomplia Actigall Acti-Plus Active Guard Activella Actonel Actos Adempas Advair Advil, Nurofen Afinitor Aflumycin Aggrenox Agiserc Agisten Akineton Akne Mycin Alcaine Aldactone Aldara Allegra Alphagan P Altace Altafrin Alvesco Amandin Amaryl Ambisome Amerge Amitiza Ampyra Anafranil, Anafranil SR Androcur AndroFeme AndroForte Androgel Angelique Anoro Ellipta Antagon Anti-Virus Products Antrolin Aptiom Aquadon Aquos Ointment Aranesp Arava Arcoxia Aricept Arimidex Armour Thyroid Armour Thyroid Arnuity Ellipta Aromasin Artane Arthrotec Asacol Asmanex Aspirin Astelin Atacand Atarax Atrovent Hfa Aubagio Augmentin Aura Portable Nebulizer Avalide Avandia Avapro Avelox Aventyl Avodart Avonex Axera Aygestin Azarga Azilect Azopt Azulfidine B Neurol Kosher Bactrim , Septra Bactroban Balversa Baraclude Beconase Belara Benicar Benicar Plus Benzaclin Betacorten Betapace Betoptic-S Bevespi Bezalip Biafine Biaxin, Klacid Biktarvy Bonviva Bosulif Botox Bravelle(10Vials) Breo Ellipta Breztri Bricanyl Brilinta Briviact Broncholate Plus Buspar Bystolic Calctriol, Alpha D3 Calma Guard Combo Pack Calmanervin Calquence Capoten Carafate Carbatrol Carbolith Cardizem,Cardizem SR Cardura Casodex Cataflam Catapres Caverject Ceftin Celebrex Celexa Cellcept Cequa Cerazette Cetrotide Chantix Chizukit Forte Chlor-Trimeton Cialis Ciloxan Cipro Circadin Clarinase Clarinex Claritin Cleocin Cleocin T Climara Climex Clomid Cloth Mask Colcrys Colestid Collagenase Santyl Ointment Combigan Combivent Respimat Combivir Comtan Condylox Copaxone Co-Q10 Coralan, Servier Cordarone Coreg Cortrosyn Cosopt COViD Antigen Rapid Test Cozaar Credit Creon Creon Crestor Crinone Gel Crixivan Crolom Cryselle Cyanocobalamin Cyclogyl Cyclomen Cymbalta Cytomel Cytotec Daktarin Daliresp Danocrine Daonil Darvacet Dead Sea Creams Decapeptyl Decapeptyl Defender Plus Demadex Denavir Depakote Depalept Chrono Depo-Provera Dermacombin Desogen Desonide Desyrel Detrol LA Dexamethasone Dexamol Cold And Flu Diacerein Diamilla Diamox Diane Dibenzyline Diclegis Diflucan Dilantin Diovan Diovan HCT Diprolene Ditropan Dostinex Dovato Dovobet Ointment Dovonex Doxil Liposomal Duaklir Duavee Dulera Duoneb Dupixent Durezol Dymista Dynacin Edarbi Edronax Effexor Effexor XR Effient Efudix, Efudex Elavil Elidel Eliquis Ella Elmiron Elocon Elonva Emend Emla Emtrix Enbrel Endometrin Enovid Entocort EC Entresto Epinephrine Epipen Epivir Erleada Eroxon Erythromycin Erythromycin Esbriet Esedrix, Hydrodiuril Estrace Estrace Estraderm Estradot Estring Estrogel Topical Gel Eucrisa Evenity Eviana Eviana_OLD Evista Evorel Conti Evorel Sequi Evra Excedrin Migraine Exelon Exforge Exipan Exparin Fake Drug Farxiga Fastum Gel Fedex Refrigerated Shipping Femara Fetzima Finacea - Azelex Flagyl Flagyl Gel Flector Patch Flomax Flonase Spray Flora Q2 - Probiotics Flovent Flovent Hfa Floxin Fluanxol Fluoroplex FML Folic Acid Follistim Follistim Pen (Re-Usable) Foradil , Oxis Forteo Fosamax , Fosavance Fostair Fragmin Freestyle Lite Test Strips Frova Fucicort Cream Gaviscon Genotropin Genteal Geodon Gilenya Gleevec Glipizide Glovan Glucagen Glyxambi Gonal F Gonal F Multidose Gynera Gynoflor Gynorest Haldol Hand Delivery In Jeruaslem Harmonet Herbal Cleanser - Dr Saker Humalog Humira Hycomycin Hydrocortizone Cream Hylo-Comod Hytrin Hyzaar Ibrance Ilevro Imbruvica Imitrex , Imigran Imitrex Spray Imodium Imuran Incivek Incruse Inderal Indocid Inlyta Inositol Plus Inotyol Ointment Inspra Insulin Pen Needle Tips Intrarosa Invega Trinza Invokana Iopidine Isenrtess Isoptin Israeli Flag Istalol, Tiloptic Itraconazole Jakafi Jalyn Janumet Janumet XR Januvia Jardiance Jaydess Jorveza Jublia Kali Tzom Fasting Pills Kapidex , Dexilant Kayexalate Powder Keflex Kemadrin Kenacort Keppra Kerendia Ketotifen Kisqali Klisyri Kloniopin, Clonex, Rivotril KN95 Mask with Filter Kombiglyze XR Kyleena Kytril Lamictal Lamisil Lanoxin Lantus Lasix Latuda Lemocin Leqvio Lescol Leshcutan Ointment Leucovorin Levaquin Levemir Levitra Lexapro Lexiva Librax Linzess Lipitor Liptruzet Livalo Localin Loceryl Lodine,Lodine XL Lodotra Lokelma Lomotil Loniten Lopressor Losec OTC Lotemax Lotensin Lotrisone Lovaza Lovenox Lozol Ludiomil Lumigan Lupron 2 Week Kit Lupron, Lucrin Luveris Luvox Lynparza Lyrica Lysodren Lysteda Macrobid Magnesium Sulphate Malarone Marcaine Maxalt Medrol Mei Test Mekinist Mektovi Menopur Menopur (Turkey) Mentax Mercilon Mestinon Metanx Metformin Methergine Methimazole Methotrex Mezavant XL Miacalcin Micardis Microgynon Midro Tea Minesse MIniPill, Microlut Minirin, DDAVP Minocin Mirapex Mircette Mirena Mirvaso Modal Moduret Monopril Monovisc Monurol Motegrity Motilium Mounjaro Movantik Mucolit Multaq Muscol Muse Mycamine Mycobutin MycoFormulas Endurance MycoFormulas Immune MycoFormulas Memory Mydriacyl Myleran Myrbetriq Mysoline Namenda Namzaric Naprosyn Nasacort Aq Nasonex Natazia Nebido Neomycin Neoral Neudexta Neupro Neurontin Nevanac Nexavar Nexium Nexletol Nexlizet Nexlizet Nexplanon Niacin Niaspan XR Nimesil Nimotop Nitrolingual , Nitro Patch Nizoral Nocdurna Nolvadex Nolvadex-D Nootropil Norditropin Noritate Norpace Norpramin Norvasc Nosterol Nova T Novarel Vial for Injection Novofem Novofine Novolog Noxafil NP Thyroid Nuedexta Nurofen Plus Nurofen Plus Nurtec Nuvaring Ofev Olumiant Omnaris Onfi Onglyza Optalgin Opti Free Oracea Oracort Orilissa Ortho Cyclen Orthovisc Orudis Otezla Otrimer Otrivin Ovestin Ovidrel Ozempic Paper Surgical Mask Parlodel Patanol Pavadyl Paxil Peglax Penlac Pentasa,Canasa Pepcid Pepto Bismol Pergoveris Periostat Persantine Pevaryl Phyllotex Pico-Salax Plaquenil Plavix Plendil Postinor Pradaxa Praluent Pramin Prandin Pravachol Precose Pred Forte Prednisone Premarin Premarin Vaginal Cream Prempro Prevacid Prilosec Pristiq Prizma Proamatine Procardia XL,Adalat Procto Glyvenol Procto Oblipicha Proctofoam HC Proctozorin ProFeme Progesterone in oil Prograf Progyluton Prolensa Proleukin Prolia Prolutex Prometrium Propecia Propine Proscar Protelos Protonix Protopic Provera Provigil Prozac Prudac Pulmicort Purinethol Qnasal Quad Mix Questran Quibron Quinine Qulipta Qvar R95 Rafael Bountiful Milk Rafael Hot And Cold Pads For Engorgement Rafael Nursing Mothers Ointment Rafael Pure Hypoallergenic Lanolin Rafael Raspberry Leaf Tincture Ranexa Rapaflo Rapamune Razadyne Reclast Rectogesic Rectozorin Rekovelle Relafen Relistor Relpax Remeron, Zisprin Remicade Reminyl Rennie Renova Renvela Reolin Repatha Repronex Requip Reship Restasis Retrovir Revatio Revlimid Revolade Rexulti Reyataz Rhinocort Aqua Nasal Spray Ridaura Rinvoq Risperdal Rogaine Topical Rokacet Rokal Ryaltris Rybelsus Ryeqo Rythmol Sabril Saflutan Saizen Salagen Saline for Inhalation Saline Injection Sambucol Samsca Sanctura Saphris Savaysa Savvy Check Saxenda Seasonique Sebivo Sectral Selincro Selsun Shampoo Sensipar Serevent Seroquel Seroquel XR Sibelium Silenor Silvadene Simbrinza Sinemet CR Sinequan Singulair Sinutab Skyrizi Slow-K Smoke Out Solgar Multi Male Solian Soliqua Soriatane Sovaldi Spiriva Sprycel Stalevo Steglatro Stelara Stieprox Shampoo Stiolto Stocrin Strattera Strepsils Stress Stop Stud 100 Stunarone Sulfazine Sunscreen Superlas Sutent Swiss Relief Symbicort Turbuhaler Symmetrel Synarel Spray Synjardy Synthomicine Synthroid Synvisc Syringes for GLP-1 Syringes for Mounjaro Systane Taffix Tafinlar Tagrisso Tambocor Tamiflu-NA Tarceva Targretin Tazorac Tecfidera Tegretol Tegretol CR Tekturna Temovate , Olux Tenormin Teva-Cold Thorazine Tirzepatide Compound Tobradex Tofranil Tonight Topamax Topisalen Toujeo Toviaz Tradjenta Tramadol Tramadol ER Trandate Traumeel Travatan Travocort Tredaptive Trelegy Ellipta Trental Tricor Trilafon Trileptal Trimbow Trimix Trintellix Trizivir Trulance Trulicity Trusopt Truvada Tudorza Tylenol Tylenol Cold Ubrelvy Uceris Rectal Foam Uloric Ultibro Breezhaler Undecyl Univasc Uroxatral UtiPro Plus Vagifem Vagiflora Valcyte-NA Valtrex Vancocin Vaniqa Cream Vascepa Vasodip Vasodip Combo Vasotec Vayacog Vayarin VCF Vaginal Contraceptive Film Velphoro Veltassa Venclexta Ventolin Veozah Veramyst Vermox Verquvo Verrumal Verzenio Vesanoid Vesicare Vfend Viagra Viagra Cialis OTC Vibramycin Victoza Victrelis Vigamox Viibryd Vimpat Viread Vitamin C Vitamin D Vitamin D Drops VItamin E Vitaros Cream Vivelle Voltaren Emulgel Voltaren Eye Drops Voltaren Tablets Voltaren Tablets Votrient Vraylar Vytorin Vyzulta Warfarin Wegovy Wellbutrin XL, Zyban Xalatan Xalkori Xarelto Xeljanz Xeloda Xenazine Xenical Xgeva Xifaxan Xigduo Xiidra Xolair Xylovit Spray Yasmin Yaz Zaditor Zanaflex Zantac Zaroxolyn Zavesca Zebeta Zelboraf Zemplar Zestril Zetia Ziagen Zioptan Zirgan Zithromax Zocor Zofran Zoladex Zoloft , Lustral Zomig Zoomind Zoprotec Zovirax Zovirax Zylet Zyloprim Zyprexa Zyrtec Zytiga PRN 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 100 101 102 103 104 105 106 107 108 109 110 111 112 113 114 115 116 117 118 119 120 121 122 123 124 125 126 127 128 129 130 131 132 133 134 135 136 137 138 139 140 141 142 143 144 145 146 147 148 149 150 151 152 153 154 155 156 157 158 159 160 161 162 163 164 165 166 167 168 169 170 171 172 173 174 175 176 177 178 179 180 181 182 183 184 185 186 187 188 189 190 191 192 193 194 195 196 197 198 199 200 201 202 203 204 205 206 207 208 209 210 211 212 213 214 215 216 217 218 219 220 221 222 223 224 225 226 227 228 229 230 231 232 233 234 235 236 237 238 239 240 241 242 243 244 245 246 247 248 249 250 251 252 253 254 255 256 257 258 259 260 261 262 263 264 265 266 267 268 269 270 271 272 273 274 275 276 277 278 279 280 281 282 283 284 285 286 287 288 289 290 291 292 293 294 295 296 297 298 299 300 301 302 303 304 305 306 307 308 309 310 311 312 313 314 315 316 317 318 319 320 321 322 323 324 325 326 327 328 329 330 331 332 333 334 335 336 337 338 339 340 341 342 343 344 345 346 347 348 349 350 351 352 353 354 355 356 357 358 359 360 361 362 363 364 365 366 367 368 369 370 371 372 373 374 375 376 377 378 379 380 381 382 383 384 385 386 387 388 389 390 391 392 393 394 395 396 397 398 399 400 401 402 403 404 405 406 407 408 409 410 411 412 413 414 415 416 417 418 419 420 421 422 423 424 425 426 427 428 429 430 431 432 433 434 435 436 437 438 439 440 441 442 443 444 445 446 447 448 449 450 451 452 453 454 455 456 457 458 459 460 461 462 463 464 465 466 467 468 469 470 471 472 473 474 475 476 477 478 479 480 481 482 483 484 485 486 487 488 489 490 491 492 493 494 495 496 497 498 499 500 501 502 503 504 505 506 507 508 509 510 511 512 513 514 515 516 517 518 519 520 521 522 523 524 525 526 527 528 529 530 531 532 533 534 535 536 537 538 539 540 541 542 543 544 545 546 547 548 549 550 551 552 553 554 555 556 557 558 559 560 561 562 563 564 565 566 567 568 569 570 571 572 573 574 575 576 577 578 579 580 581 582 583 584 585 586 587 588 589 590 591 592 593 594 595 596 597 598 599 600

Show Older RXs

First Name			Phone
Last Name			Mobile
Signature Waived (Not yet active)	(Will set Checkbox on Create Order Page)
Type of ID ID #	Select Social Security Passport Driver's License Medicare ID State Issued ID (for IVF only) (numbers only)		Doctor Clinic	Select Doctor
Date of Birth			Origin	IsraelPharm IVF*Pharmacy Buy-Birth-Control IsraMeds Testocreams TCDS MycoMeds ReeKooz RXforME HiPharm UKmeds VayaZoom UbaCare
Gender	Male Female		Joined On..	September 10, 2024
Address			Affiliate	NONE Clifton Israel 365 Times of Israel
Apt#/Unit #			Credit Card Info
City			CC Number
State	SELECT STATE Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming ------------- OTHER American Samoa Guam Gu Marshall Islands Puerto Rico Palau Virgin Islands ------------- Armed Forces Africa / Europe / Middle East / Canada Armed Forces Americas Armed Forces Pacific -- American Samoa Federated States of Micronesia Guam Marshall Islands Northern Mariana Islands Palau Puerto Rico Virgin Islands Non US		CVV
Country	United States of America Afghanistan Alan Islands Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua And Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia And Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory Brunei Darussalam Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo Cook Islands Costa Rica Cote DIvoire Croatia Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands (Malvinas) Faroe Islands Fiji Finland France French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Great Britain Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Honduras Hong Kong Hungary Iceland India Indonesia Ireland Isle Of Man Israel Italy Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati Korea, Republic Of Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Liechtenstein Lithuania Luxembourg Macao Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mexico Micronesia Moldova Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands Netherlands Antilles New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island North Macedonia Northern Mariana Islands Norway Oman Pakistan Palau Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Reunion Romania Russia Rwanda Saint Helena Saint Kitts And Nevis Saint Lucia Saint Pierre And Miquelon Samoa San Marino Saudi Arabia Senegal Serbia Serbia And Montenegro Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa South Korea Spain Sri Lanka Sudan Suriname Svalbard And Jan Mayen Swaziland Sweden Switzerland Taiwan, Province Of China Tajikistan Tanzania, United Republic Of Thailand Timor-Leste Togo Tonga Trinidad And Tobago Tunisia Turkey Turkmenistan Turks And Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates Uruguay Uzbekistan Vanuatu Venezuela Viet Nam Virgin Islands, British Virgin Islands, USA Wallis And Futuna Western Sahara Yemen Zambia Zimbabwe		Exp Date	/
Zip			ACH Info
Email			ABA/Routing #
Password			Account #
Date To Call			Bank Name
Do Not Call			Name on Account
Black Listed
Do Not Email (anything)			Send Reminder Email
Medical Information
Doctor			Dr. Phone #
Dr. Email			Dr. Fax #
Conditions	Nausea Fibromyalgia Seizures Arthritis Muscle Spasm Migraines Anxiety Chronic Pain Glaucoma Cancer Trouble Sleeping Loss of Appetite Weight Loss HIV/AIDS Erectile Dysfunction		Allergies
			Meds/Supplements
WooCommerce Information
(IP)Woo ID			(IP)Woo Username
Referral ID
(ReeKooz)Woo ID			(ReeKooz)Woo Username
UBAcare ID			(RXFor.ME) Woo ID
NOTE: This will NOT adjust any information on existing orders.