Long Lasting Dry Mouth Releif

12 Month Subscription $60 Every Two Months

✔️ Includes: 6 Boxes of Aquoral Spray

✔️ 1 box contains (2) 10mL bottles

✔️ 1 box shipped every 2 months for 12 months

✔️ *$24 health intake review is required once every 12 months (Included in price)

Compete order and health intake approval questions below (5-minutes to complete)

*Prescription Included with purchase online

Aquoral® is dispensed by mail exclusively by Transition Pharmacy. Fastest: Continue here prescription review + shipping included, arrives in 3–5 business days. Already have an Rx on file at the Pharmacy? You can also call (866) 694-2553 to skip the $24 review.

Patient Info

Patient first name

Patient last name

mm.dd.yyyy (Prescription Medication, dob required)

Phone

Patient email

Required Health Questions

Prescription Information and Approval:

Because this is a prescription medication a health intake is required for a doctor to review. Please answer brief medical questions and medication information

Gender

Female

Male

Sex at birth

Height and Weight

Height

Weight

Symptoms. Please select all that apply

My mouth often feels dry or sticky

I sip water or use lozenges a lot to stay comfortable

My mouth feels dry when I talk, eat, or wake up

Do you have any known allergies to medications or ingredients (such as aspartame or silicon dioxide)?

List here or type none

I understand Aquoral contains aspartame (a sweetener), and should not be used by individuals with PKU (phenylketonuria), a rare genetic disorder.
I do not have PKU and agree to proceed.

I agree

Do not proceed if you have PKU disorder - This is extremely rare - (phenylketonuria), a rare genetic disorder. Visit Drugs.com for more information or call/text us at (888) 541-1454

Payment and Shipping

⬇️ Autoship confirmation $60/ every 2 months

Aquoral Spray 12 Month Subscription $60 Every Two Months (plus $24 medical review once per year)

Subscription

$60

Terms

Review terms and click agree

I agree and understand that Aquoral Spray is for dry mouth symptom relief only. I agree to continue care with my regular healthcare provider for any underlying condition, and I will stop using Aquoral and contact a provider if I notice any side effects.