WebBystolic® Tablets 2.5, 5, 10 mg 100 ct. bottle Campral® Dose Pak 333 mg 180 ct. pack Campral® Tablets 333 mg 180 ct. bottle Celexa™ Tablets 10, 20, 40 mg 100 ct. bottle Levothroid® Tablets 25, 50, 75, 88, 100, 112, 125, 137, 150, 175, 200, 300 mcg 100 ct. bottle Lexapro™ Tablets 5, 10, 20 mg 100 ct. bottle WebPractitioner/Physician signature Date I requested the Rx items indicated for the legitimate medical needs of my patients and may not charge my patients or third party provider, including Medicare or Medicaid, for these items. Sample shipments are made subject to product availability and regulated by state and federal law.
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WebNasoGel Spray. NasoGel Tube. Neilcleanse WoundWash. NasaDock Plus. I will accept only doctor’s recommendation pads or brochures as my clinic cannot accept physical samples. Please select the appropriate option *. Requesting samples for first time I want to update address. 24-page Educational Rhinosinusitis Brochures *. 50 100. WebMySampleCloset is a website built and maintained by J. Knipper & Company. At MySampleCloset.com, we provide an easy and efficient way for healthcare providers to … WebSample shipments are made subject to product availability and regulated by state and federal law. Samples are not for sale. AbbVie reserves the right to decline requests for samples from practitioners whose medical practice and/or patient population is deemed inconsistent with the approved product indication(s). Samples manufactured by: Forest chili and soup images