Clomipramine HCL Simpli-Chew

Name: Clomipramine HCL Simpli-Chew
SKU: 9068
Availability: InStock

$411.00

Simpli-Chew Strength & Flavor

Simpli-Chew Quantity

Clear

Clinic Name *Clinic name

Clinic Phone Number *Clinic phone number

Clinic State *State the clinic is located in

Person Placing *Full Name of Person(s) who can verify the order

Order Type *Select type of Order (Who is Paying)

Bill and Ship Clinic

Bill and Ship Owner

Bill Clinic and Ship Owner

Owner Name *Owner's full name

Owner Phone Number *Owner's phone number

Is this a refill?

Pet Name *Pet's full name

Pet Species *Species of pet

Sig *Sig (Directions)

Refills *Number of Refills (0-PRN)

Medical Rationale *

Doctor's Name *Prescribing doctor's name is it appears on their license

License NumberPrescribing doctor's license number

Question *Do you understand that we are a Compounding Pharmacy and that this drug is made from a bulk medication that isn't commercially available in this form, strength, or flavor?

Yes

SKU: N/A Category: Simpli-Chew or Simpli-Round

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Additional information

Simpli-Chew Strength & Flavor	10 mg Chicken, 50 mg Chicken, 100 mg Chicken
Simpli-Chew Quantity	10 chew, 20 chew, 30 chew, 40 chew, 50 chew, 60 chew, 90 chew, 120 chew, 150 chew, 180 chew, 210 chew, 240 chew, 270 chew, 300 chew, 330 chew, 360 chew, 390 chew, 420 chew, 450 chew, 500 chew

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Clomipramine HCL Simpli-Chew

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