Congratulations...You Qualified!

1 Month Supply $89 (Includes medical review)

✔️ Includes: 1 Boxe of Aquoral Spray

✔️ 1 box contains 2 10mL/spray bottles

✔️ 1 box shipped every month for 12 months

✔️ 30 days of full use coverage minimum

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

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

Patient email

Phone

Required Health Questions

mm.dd.yyyy

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

⬇️ One Time Purchase Confirmation (Includes 2 canisters)

Aquoral Spray Single $65 ($89 with medical review)

$89

Must select from the address search bar above

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.