First, let's get some basic info

Yes, I agree to the Joe Pill® Terms & Conditions, Privacy Policy, and Telehealth Consent and I can confirm that I am a resident of either Texas or Florida.

First Name *

Last Name *

Email *

Phone *

Date of Birth *

Gender *

State (Service only available for Texas or Florida Residents) *

Please click "NEXT" below to continue. 👇

Step 2... Medications

Any Allergies to Medications? *

I confirm that I am seeking a Joe Pill® Prescription Pack™ *

Yes, I want a Joe Pill® Prescription Pack™ and understand the cost is $149 for the basic pack.

I confirm that I am also interested in the following "add-ons" to my travel pack and understand there is an additional cost to add the items below *

Sea Sickness Transdermal Scopolamine Patches ($36 for quantity 3x 72-hour patches)

Itchy Rash / Insect Bite Triamcinolone 0.1% Cream 30grams ($12)

Gout Attack Indomethacin 50mg 20 capsules ($12)

Romantic Getaway Viagra® (sildenafil) 100mg 30 tablets ($25)

Cold Sore Package: Valtrex® (valacyclovir) tablets PLUS travel size acyclovir cream ($39)

Extra Zpak? (Only $9)

Extra Medrol Dose Pack? (Only $12)

No "Add-ons" Are Desired At This Time

Please click "NEXT" below to continue. 👇

Step 3... Billing Address

Street Address *

City *

State *

Postal code *

Is your BILLING address the same as your SHIPPING address? *

Yes

Please click "NEXT" below to continue. 👇

Step 4... Shipping Address

Shipping Street Address

Shipping City

State (Texas or Florida)

Shipping Zip Code

Please click "NEXT" below to continue. 👇

ALL DONE!

Please click the "Submit" button below!

After hitting SUBMIT below, a licensed medical provider will review your submission and contact you by phone during regular business hours. Once approved by a medical provider, prescriptions will be sent by mail upon full payment.