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PROPECIA® ORDER PROCESS
To receive your Propecia® prescription and subsequent order, we ask that you please complete the following three-step process:
- Review the reference material concerning male pattern hair loss, Propecia®
and agree to the Waiver of Liability.
- Complete the questionaire.
- Select the quantity of Propecia®.
If approved for a Propecia® prescription, we will have your Propecia® shipped
discretely to your home or office within 48 hours of approval.
PROPECIA® PRICES ARE AS FOLLOWS:
1 mg Propecia® Pills
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90
tablets = 3 month supply Total = $155
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180
tablets = 6 month supply Total = $310
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270
tablets = 9 month supply Total = $465
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360
tablets = 12 month supply Total = $620
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Consultation Fee
There is a $50.00 consultation fee only if the physician determines Propecia® is
appropriate for your condition. There will be no charge if the physician determines that Propecia® is not appropriate for your condition. Your approved Propecia®
prescription allows you to place your original order plus four (4) additional refill orders over the next twelve (12) months.
Waiver of Liability
I hereby release 1stpropeciaprescription.com and all of their employees and
contractors including physicians from all liability associated with my Propecia® consultation and/or the use of Propecia®. I understand that no physician, nurse or
administrative personnel can guarantee that Propecia®, even if prescribed, will provide the results I seek. I hereby agree to answer truthfully all of the medical questions
during my consultation. I also understand that if I fail in anyway to furnish 1stpropeciaprescription.com with my complete and accurate medical history or
become aware of any changes in the future which I have not notified 1stpropeciaprescription.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 Propecia® 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 Propecia®. 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 Propecia® so they may advise to continue or discontinue the use of medication.
I understand that the side effects of Propecia®, which generally effect less than two
percent of the population include but are not limited to; a decrease in libido, erectile dysfunction and a decrease in the ejaculate fluid (not related to sperm count). These
side effects are reversible and will generally cease upon the discontinuation of the medication. Furthermore, I understand that Propecia® is for the treatment of male
pattern hair loss in men only. Women who are or may potentially be pregnant must not use Propecia® and should not handle crushed or broken tablets of Propecia®.
The ingredients in Propecia® may cause potential risk to the development of the male sex organs in the developing fetus. Propecia® tablets are coated and will prevent
contact with the active ingredients during normal handling. For more information regarding Propecia® please contact Merck & Co @ www.propecia.com. 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.
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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