Prescription Drug Authorization is required to purchase this item.
We will only process an order including this item if we have an Rx Drug Authorization form from you. If you would like us to process the unrestricted items in your order, please indicate this in the "Special Instructions" field during the shipping section of checkout. You can download our Prescription Drug Authorization form here.
Adobe Reader is required to view the form. Get Adobe Reader free here.
For use withInterlink System
Prescription Drug Authorization is required to purchase this item.
If we do not already have your drug authorization, your order will not be processed until we receive it. You can download our Prescription Drug Authorization form here.