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Direct Dispensing

 

 

The duplex script form is mailed to the healthcare provider on the same date that the prescription is shipped via UPS to the patient. The front side provides general instructions for use. Specific instructions for individual conditions may be provided on the reverse side by the healthcare practitioner.

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Script Sheet - A (Front) Script Sheet - B (Back)

Dispense Form

 Dispense Form

For free personalized prescription forms send electronic mail to RPI of Atlanta or call 800.554.1501 or fax 770.952.7492.

 

 

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Last modified: January 18, 2005