30 tablets = 1 month supply Total = $ 88.50 |
60 tablets = 2 month supply Total = $177.00 |
90 tablets = 3 month supply Total = $261.00 |
120 tablets = 4 month supply Total = $342.00 |
CONSULTATION FEE
There is a $75.00 consultation fee only if the physician determines Claritin® is appropriate for your condition. There will be no charge if the physician determines that Claritin® is not appropriate for your condition. Your approved Claritin®' prescription allows you to place your original order plus three (3) additional refill orders over the next twelve (12) months.
Waiver
of Liability
I
hereby release www.onlinepills.com and all of their employees and contractors including physicians from all liability associated with my Claritin®
consultation and/or the use of Claritin® as listed by Schering
Corporation. I understand that no physician, nurse or administrative personnel can guarantee that Claritin®, even if prescribed, will provide the results I seek. I understand that falsifying information
in order to obtain a prescription medication is a violation of both state and federal laws. I also understand that if I fail in
anyway to furnish www.onlinepills.com with my complete and accurate medical
history or become aware of any changes in the future which I have
not notified www.onlinepills.com of then I cannot hold them responsible for
any adverse effects I may suffer.
I
am fully aware that it is my responsibility to have an annual physical
exam, including any suggested laboratory test, to ensure that I
have no disease, which might make Claritin® inappropriate for
me. I also understand that this consultation is not a substitute
for my need to visit a local physician for my annual exam. I further agree to consult with my local physician and/or pharmacist to warrant that I am not taking any medication on the published list that would contraindicate the use of Claritin®. I further
agree to notify all physicians, whose present care I am currently
under or any physician who I will engage in the future, of my decision
to use Claritin® so they may advise to continue or discontinue
the use of medication.
I
am aware of the potential side effects of Claritin®, as listed by Schering Corporation @ www.claritin.com. These side effects may include but are not limited to the following: headaches, drowsiness and dry mouth. Furthermore, I understand that Claritin® is for the treatment of seasonal allergies. Women who are or may potentially be pregnant must not use Claritin-D 12 hour medication contains pseudoephedrine which is contraindicated in patients with narrow-angle glaucoma, urinary retention, severe hypertension, severe coronary artery disease in individuals who have shown hypersensitivity to its
components, and those patients taking monoamine oxidase (MAO) inhibitors within fourteen days. Finally, I understand a qualified and licensed physician, who may or may not be
licensed to practice medicine in my state, will evaluate the information I am providing.
If approved, I irrevocably appoint www.onlinepills.com to be my agent and have my prescription and any refills filled by the Pharmacy of its choice and acknowledge that the Rx obtained for me is non-transferable. We
are unable to accept returns or issue refunds for any orders due
to the fact that this is a prescription medication.
WITH ALL OF THE ABOVE STATEMENTS
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