Pharmacy order form
Account pricing in AUD
Tell us who this order is for and where it should be delivered.
Set automatically — cannot be changed
11 digits
Medicines classified as Schedule 3 can be supplied by a pharmacist without a prescription, subject to applicable requirements.
Medicines classified as Schedule 4 are prescription-only medicines and require an appropriate prescription for supply.
Select the products you want to order and specify the quantity for each.
BLU Device
$48.00
per inner
2 x 2ml
$50.40
2ml