Ordering our products

Ordering with Xeal

We understand that it is important to provide your patients with their medication as quickly as possible.

To make the ordering process easier, we can personalize an ordering method that is best suited to you, your needs and your schedule.

Orders can be taken over the phone or by email.

Specials Order Form

PHARMACY DETAILS


Pharmacy Name:

Account Reference:

Email:

Contact Name:

Address:

Country:

PRODUCT DETAILS


Name / Formula / Description / Strength:

Quantity:

Special Instructions:

Preferred confirmation method:


Confirmation:
Orders for all unlicensed products will be supplied in compliance with Regulations 167 of the Human Medicines Regulations 2012 Part 10

Please confirm by ticking the box below that:

The medicinal product is ordered in accordance with the specifications of a person who is a doctor, dentist, nurse independant prescriber, pharmacist independent prescriber or supplementary prescriber:

Is for use by a patient for whose treatment that person is directly responsible in order to fulfil the special needs of that patient.

Submit