Drug # 1blanks* Route: Pellet Implant SubcutaneousStrength:blank Total quantity:*
Drug # 2blanks Route: Pellet Implant SubcutaneousStrength:blank Total quantity:
Drug # 3blanks Route: Pellet Implant SubcutaneousStrength:blank Total quantity:
Trocar Option 1: Standard Stainless Steel Trocar: 3-Piece
Trocar Option 2: 3-Piece Disposable Plastic Trocar Kit
Trocar Option 3: 3-Piece Stainless Steel Disposable Trocar Kit
***Please note: GA and OH Require Prior Authorization to Ship Patient SpecificPrescriptions to Practitioners. OK Prohibits It Completely.
3505 Austin Bluffs Pkwy., Ste. 101 Colorado Springs, Colorado 80918
www.collegepharmacy.com
Tel: 800-888-9358 / 719-262-0022 Fax: 800-556-5893 / 719-262-0035e-Fax: 866-480-7483
STORE HOURS
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newpatient@collegepharmacy.com