Cold Flu Sinus & Allergy Nutritional Herbal Supplements

How To Use This Order Form

Place a checkmark in the box of the product you wish to purchase.
Select quantity using the drop down menu tab directly below the box you've check.
Scroll down toward the bottom of the page and fill out your personal information.
Click the place order button to send us the order.
 

Cough & Bronchial Syrup

Maximum strength, natural relief cough suppressant and expectorant. Non-narcotic and non-drowsy formula.
4 fl. oz.

Item Number:NDC9007
Cost: $ 6.99

Check box to order.
Quantity

 

Cough & Bronchial Syrup
Low Alcohol

Maximum strength, natural relief cough suppressant and expectorant. Non-narcotic and non-drowsy formula. Less than 1% alcohol.
4 fl. oz.

Item Number: NDC9010
Cost: $ 6.99

Check box to order.
Quantity

   

BT Natural Relief
Chewable Cough Suppressant

Homeopathic chewable orange-flavored cough tablets with zinc.
24 Tablets

Item Number: NDC8145
Cost: $ 4.19

Check box to order.
Quantity

   

Enterobiotic S-IGC

Good bacteria to help the body feel well and improve the immune system.
60 Capsules

Item Number: NCS-IGC208
Cost: $ 31.49

Check box to order.
Quantity

 

Vitamin C
1000 mg

Nutritional supplement that enhances the immune system.
100 Capsules

Item Number: WC10154
Cost: $ 12.19

Check box to order.
Quantity

 

Cough PP

Natural remedy for cough.
1 fl. oz.

Item Number: NC343
Cost: $ 16.88

Check box to order.
Quantity 

 

Zinc Lozenges

Dietary supplement containing zinc, vitamin C and slippery elm.
60 Lozenges

Item Number: WC10165
Cost: $ 6.49

Check box to order.
Quantity 

 

Bronchi HP

Homeopathic remedy that alleviates symptoms of chronic bronchitis and inflammation of the bronchial tree.
1 fl. oz.

Item Number: NC90
Cost: $ 17.56

Check box to order.
Quantity 

 

Allergy HP

High-potency homeopathic remedy for symptoms due to allergies of inhalant allergens.
1 fl. oz.

Item Number: NC79
Cost: $ 17.95

Check box to order.
Quantity

 

Sinus HP

High-potency homeopathic remedy for symptoms due to chronic sinus problems.
1 fl. oz.

Item Number: NC82
Cost: $ 18.44

Check box to order.
Quantity

 

Ordering Instructions

*Mandatory Fields
*As it appears on your credit card statement

Check box in product window of the item(s) you'd like to purchase
Fill out information fields on the form below
Click Place Order Here button (below)

Note: This form good for this page only.
Leaving this page before sending form will result in lost information.
Healthway Compounding Pharmacy reserves the right to disregard any incomplete or improperly filled out forms.

Enter = Send     Tab = Next Box

Customer Credit Card Information

*First Name:
**Last Name:
**Address:
     
**City:
    
**State:
**Zip/Postal Code:
**Phone:
(Day)     
 (Evening)
*Email:

Credit Card Information

Credit Card Type:

Credit Card Number:

    Expiration Date:

Card CVV2 Code:

 
3 digits in signature strip on back of card to the right of the (partial) card number.

If the Credit Card information is the same as the shipping information click this box and skip next section.

Customer Shipping Information

First Name:
Last Name:
   Address:
          City:
        State:
 Zip/Postal Code:
              Phone:
(Day)     
(Evening)

If you have ordered from us previously:
Customer Number:

Comments or Additional Information


 

 

 

 

Healthway Pharmacy
Wellness Center


cold flu supplements supplement nutritional herbal

[Home] [About Us] [Contact Us] [Links]
[Women's Health] [Pain Management] [Veterinary Medicine]
[Dental Medicines] [Dermatology] [Pediatric Medicine]
[Hospice Medications] [Prescription Refill Form]
[Diabetes] [Durable Medical Equipment] [Consultations]
[Nicotine Alternative] [Podiatry] [Sports Medicine]

Doctors Prescription Fax Forms
[Hormone Replacement Fax Form]
[Pain Management Prescription Fax Form]
[Common Compounds For Family Practice Fax Form]
[Nicotine Alternative Fax Form]
[Wound Care Fax Form]

Online Shopping
[Autism] [Children] [Cold&Flu] [Diabetes]
[Fatigue] [Heart] [Immune System] [Joint Health]
[Men] [Menopause] [PMS] [Women]

Doctors Informational
[Dentist Information] [Doctor Information]
[Veterinarian Informational]
[Writing For A Compounded Prescription]

Informational
[History Of Compounded Medications]
[Vitamins] [Minerals] [Saliva Testing]
[Cold & Flu] [Pet Medication Dispensing Methods]
[Hot Flashes and Night Sweats] [Wound Care]
[Sterile Manufacturing Process]

Privacy
[HIPAA Privacy Policy]

 

Healthway Pharmacy
1008 N. Saginaw St.
St. Charles, Michigan 48655

989-865-9971 - Phone
989-865-6216 - Fax
1-800-742-7527 - Toll Free

Healthway Compounding Pharmacy
2544 McLeod Dr., N.
Saginaw, Michigan 48604

989-791-1691 - Phone
989-791-4603 - Fax
1-866-883-8868 - Toll Free