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Step 1. Billing Information:

Last Name:  

Aprodine 24 Tablets

Aprodine 24's

First Name:
Middle Initial:
Name as it appears on credit card:


Daytime Phone:
Evening Phone:
Email: (i.e.  

Due to new Federal Regulations on pseudoephedrine there is a limit of two (2) packages per household per transaction.  Also, you may not purchase more than five (5) packages per 30 day period.  

We will only ship to the address that is the same as the billing address where your credit card statements are sent.


Provide your address that your credit

card statements are sent to.

Zip Code: NOTICE: Under 18 USC 1001, anyone who makes a materially false, fictitious, or fraudulent statement to the US Government is subject to criminal penalties.  Penalties may include a fine of up to $250,000 and/or imprisonment for up to 5 years.
Select your card:
Card number: No Spaces Please
CV V 2 Click here for CVV2 help
Card expiration: << change this to the correct expiration
Special Instructions or comments: Please note what item(s) you are requesting and quantity of each item


, EVERY DAYS With AutoShip, we'll automatically bill your card on file and ship your Aprodine to you until either your credit card or photo ID expires or you cancel.  To cancel or change frequency of shipments please send email to
Shipping Method


We will only ship to the address that is the same as the billing address where your credit card statements are sent.

When we process your credit card we use AVS technology to verify your address.

Items usually ship 1-3 days after an order is placed.

Due to the special order requirements of this product, it will NOT appear in your shopping cart.  If you'd like to purchase other items you can do so and we'll combine your orders when we ship to you.   International shipments will be assessed a $42 surcharge in addition to the amount listed above.

Final Step:    This is a secure page

Note:  A confirmation email will be sent to you when your order has been processed.

Privacy Statement:  No information is collected until the "Click Here to Send Your Order" button is clicked. All information provided is kept in strict confidence and will NOT be sold or shared with anyone unless it is directly related to your order.

If you would prefer to fax this page please print and fax it to (941) 296-7447.  Include a copy of your photo ID with your fax if you haven't done that before.


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