Long Lasting Dry Mouth Relief

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

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3 Month Supply $199 (Includes medical review)

✔️ Includes: 3 Boxes of Aquoral Spray & medical review

✔️ 3 boxes shipped one time, 6 canisters total included

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

Already have a prescription?
*Prescription Included with purchase online

Patient Info

Patient first name
Patient last name
Patient email
Phone
mm.dd.yyyy

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

  1. Gender

Sex at birth
  1. Height and Weight

Height*
Height
Weight
  1. Symptoms. Please select all that apply

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

List here or type none
  1. I understand Aquoral contains aspartame (a sweetener), and should not be used by individuals with PKU (phenylketonuria), a rare genetic disorder.

  2. I do not have PKU and agree to proceed.

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

⬇️ Confirm your are purchasing 3 months (3 boxes at once)

$199
Must select from the address search bar above

Terms

Review terms and click agree

Visit Drugs.com for more info


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Security

HIPPA compliant secure handling of your personal data

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Support

Continued chat support from your clinical care team

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Medical advice

Medical evaluation and prescriptions by board-certified physicians