Let's get started with your medication delivery

To take advantage of the special discounted offer, the manufacturer requires patients meet the following eligibility requirements. Please confirm the following:

What if I'm not eligible?

Provide your information

First name

Last name


Female Male Other

Date Of Birth

/ /


Mobile Number

Zip code

Current pharmacy name

Current pharmacy phone number

Do you need help working with your doctor for a new prescription?

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Do you have health insurance?

Yes No

Do you have any known allergies?

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Other medical conditions or information to share?

Are you taking any other medications?

3121 Diablo Avenue

Hayward, CA 94545


PHONE: 855-910-8606

SMS Chat: 650-300-0120


Prescriptions fulfilled

We accept your insurance

We accept a wide range of insurance providers. If you have any coverage questions give us a call at (650) 399-9905.