Sample Closet

For Licensed Healthcare Practitioners Only

Check one

MD PA NP DO DPM ND

	Rx Patient Samples Quantity Requested	Rx Scripts Quantity Requested
Acunol ® 90 Tablets NDC#61480-137-05
Eczemol® 100 Tablets NDC#61480-127-05
Psorizide®Forte 90 Tablets NDC#61480-255-05
Psorizide®Ultra 100 Tablets NDC# 61480-124-05

Or you can download DOC or PDF file and send it to our email (plymouthpharm@gmail.com) or fax (440- 542-0765)

Samples will be sent within 5 – 7 business days.

Are you a Healthcare Professional?