Download & Print Order Form

 

Our online shopping cart has 128-bit SSL encryption which protects the information you send over the internet, including your personal information and credit card data. However, if you prefer, you can order offline. To place an order offline, follow these steps:

  • Download our Printable Order Form
  • Printout this document
  • Lookup up the prices of your medications on the website
  • Fill-in the order form with your medications
  • Complete the rest of the form
  • Mail your completed order form along with your prescriptions to the following address: 
    Mail Processing Center
    2540 Walden Ave
    Suite 450
    Buffalo NY 14225-4761
  • For faster service, you may scan and e-mail or fax your completed order form and prescriptions to: