1mg | Brand: [generic] | International Generic Program | Mfg: [generic] | Generic 1kit x 1mg kit | $50.09 | Generic 2kit x 1mg kit | $57.15 | Generic 3kit x 1mg kit | $61.38 | Generic 4kit x 1mg kit | $65.62 | Generic 5kit x 1mg kit | $69.85 | Generic 6kit x 1mg kit | $74.09 | Generic 7kit x 1mg kit | $78.32 | Generic 8kit x 1mg kit | $82.56 |
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3.75mg | Brand: Lucrin Depot | World Brand | Mfg: Abbott Laboratories | Lucrin Depot 1kit x 3.75mg kit | $246.31 | Lucrin Depot 2kit x 3.75mg kit | $443.94 | Lucrin Depot 3kit x 3.75mg kit | $641.58 | Lucrin Depot 4kit x 3.75mg kit | $839.21 | Lucrin Depot 5kit x 3.75mg kit | $1,036.84 | Lucrin Depot 6kit x 3.75mg kit | $1,234.48 | Lucrin Depot 7kit x 3.75mg kit | $1,432.11 | Lucrin Depot 8kit x 3.75mg kit | $1,629.75 | Brand: Lupron Depot | Canada | Mfg: Abbott Laboratories | Lupron Depot 1kit x 3.75mg kit | $639.43 | Lupron Depot 2kit x 3.75mg kit | $1,278.86 | Lupron Depot 3kit x 3.75mg kit | $1,918.29 | Lupron Depot 4kit x 3.75mg kit | $2,557.72 | Lupron Depot 5kit x 3.75mg kit | $3,197.15 | Lupron Depot 6kit x 3.75mg kit | $3,836.58 | Lupron Depot 7kit x 3.75mg kit | $4,476.01 | Lupron Depot 8kit x 3.75mg kit | $5,115.44 | Brand: [generic] | International Generic Program | Mfg: [generic] | Generic 1kit x 3.75mg kit | $205.00 | Generic 2kit x 3.75mg kit | $369.00 | Generic 3kit x 3.75mg kit | $522.75 | Generic 4kit x 3.75mg kit | $656.00 | Generic 5kit x 3.75mg kit | $768.75 | Generic 6kit x 3.75mg kit | $861.00 | Generic 7kit x 3.75mg kit | $1,004.50 | Generic 8kit x 3.75mg kit | $1,148.00 |
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7.5mg | Brand: Eligard | World Brand | Mfg: Abbott Laboratories | Eligard 1kit x 7.5mg kit | $233.69 | Eligard 2kit x 7.5mg kit | $418.70 | Eligard 3kit x 7.5mg kit | $603.72 | Eligard 4kit x 7.5mg kit | $788.73 | Eligard 5kit x 7.5mg kit | $973.75 | Eligard 6kit x 7.5mg kit | $1,158.76 | Eligard 7kit x 7.5mg kit | $1,343.78 | Eligard 8kit x 7.5mg kit | $1,528.79 | Brand: Lupron Depot | Canada | Mfg: Abbott Laboratories | Lupron Depot 1kit x 7.5mg kit | $591.58 | Lupron Depot 2kit x 7.5mg kit | $1,183.16 | Lupron Depot 3kit x 7.5mg kit | $1,774.74 | Lupron Depot 4kit x 7.5mg kit | $2,366.32 | Lupron Depot 5kit x 7.5mg kit | $2,957.90 | Lupron Depot 6kit x 7.5mg kit | $3,549.48 | Lupron Depot 7kit x 7.5mg kit | $4,141.06 | Lupron Depot 8kit x 7.5mg kit | $4,732.64 | Brand: [generic] | International Generic Program | Mfg: [generic] | Generic 1kit x 7.5mg kit | $209.09 | Generic 2kit x 7.5mg kit | $369.51 | Generic 3kit x 7.5mg kit | $529.93 | Generic 4kit x 7.5mg kit | $690.34 | Generic 5kit x 7.5mg kit | $850.76 | Generic 6kit x 7.5mg kit | $1,011.18 | Generic 7kit x 7.5mg kit | $1,171.60 | Generic 8kit x 7.5mg kit | $1,332.01 | Generic 12kit x 7.5mg kit | $1,973.68 |
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11.25mg | Brand: Lucrin Depot | World Brand | Mfg: Abbott Laboratories | Lucrin Depot 1kit x 11.25mg kit | $358.81 | Lucrin Depot 2kit x 11.25mg kit | $668.95 | Lucrin Depot 3kit x 11.25mg kit | $979.09 | Lucrin Depot 4kit x 11.25mg kit | $1,289.23 | Lucrin Depot 5kit x 11.25mg kit | $1,599.37 | Lucrin Depot 6kit x 11.25mg kit | $1,909.51 | Lucrin Depot 7kit x 11.25mg kit | $2,219.65 | Lucrin Depot 8kit x 11.25mg kit | $2,529.79 | Brand: Lupron Depot | Canada | Mfg: Abbott Laboratories | Lupron Depot 1kit x 11.25mg kit | $1,752.68 | Lupron Depot 2kit x 11.25mg kit | $3,505.36 | Lupron Depot 3kit x 11.25mg kit | $5,258.04 | Lupron Depot 4kit x 11.25mg kit | $7,010.72 | Lupron Depot 5kit x 11.25mg kit | $8,763.40 | Lupron Depot 6kit x 11.25mg kit | $10,516.08 | Lupron Depot 7kit x 11.25mg kit | $12,268.76 | Lupron Depot 8kit x 11.25mg kit | $14,021.44 | Brand: [generic] | International Generic Program | Mfg: [generic] | Generic 1kit x 11.25mg kit | $365.48 | Generic 2kit x 11.25mg kit | $685.42 | Generic 3kit x 11.25mg kit | $1,005.44 | Generic 4kit x 11.25mg kit | $1,325.38 | Generic 5kit x 11.25mg kit | $1,645.39 | Generic 6kit x 11.25mg kit | $1,965.48 | Generic 7kit x 11.25mg kit | $2,285.38 | Generic 8kit x 11.25mg kit | $2,605.43 |
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22.5mg | Generic 1kit x 22.5mg kit | $422.25 | Generic 2kit x 22.5mg kit | $795.83 | Generic 3kit x 22.5mg kit | $1,169.41 | Generic 4kit x 22.5mg kit | $1,542.99 | Generic 5kit x 22.5mg kit | $1,916.57 | Generic 6kit x 22.5mg kit | $2,290.15 | Generic 7kit x 22.5mg kit | $2,663.73 | Generic 8kit x 22.5mg kit | $3,037.31 | Brand: Eligard | World Brand | Mfg: Abbott Laboratories | Eligard 1kit x 22.5mg kit | $562.01 | Eligard 2kit x 22.5mg kit | $1,075.35 | Eligard 3kit x 22.5mg kit | $1,588.68 | Eligard 4kit x 22.5mg kit | $2,102.02 | Eligard 5kit x 22.5mg kit | $2,615.35 | Eligard 6kit x 22.5mg kit | $3,128.69 | Eligard 7kit x 22.5mg kit | $3,642.02 | Eligard 8kit x 22.5mg kit | $4,155.36 |
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30mg | Brand: Lupron Depot | Canada | Mfg: Abbott Laboratories | Lupron Depot 1kit x 30mg kit | $2,272.68 | Lupron Depot 2kit x 30mg kit | $4,545.36 | Lupron Depot 3kit x 30mg kit | $6,818.04 | Lupron Depot 4kit x 30mg kit | $9,090.72 | Lupron Depot 5kit x 30mg kit | $11,363.40 | Lupron Depot 6kit x 30mg kit | $13,636.08 | Lupron Depot 7kit x 30mg kit | $15,908.76 | Lupron Depot 8kit x 30mg kit | $18,181.44 |
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45mg | Brand: Eligard | World Brand | Mfg: Abbott Laboratories | Eligard 1kit x 45mg kit | $868.94 | Eligard 2kit x 45mg kit | $1,689.21 | Eligard 3kit x 45mg kit | $2,509.47 | Eligard 4kit x 45mg kit | $3,329.74 | Eligard 5kit x 45mg kit | $4,150.01 | Eligard 6kit x 45mg kit | $4,970.27 | Eligard 7kit x 45mg kit | $5,790.54 | Eligard 8kit x 45mg kit | $6,610.81 |
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- After completion, print off the order forms, attach a copy of your prescription and fax them to the toll free number provided.
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