Order Please chose Your Order ---Generic Fioricet – 90 Tabs - $169Generic Fioricet – 120 Tabs - $199Generic Fioricet – 180 Tabs - $234Generic Fioricet ( White ) – 180 Tabs - $239Gabapentin 400 mg 180 Tabs - $179Gabapentin 600 mg 180 Tabs - $186Gabapentin 800 mg 180 Tabs - $189Cyclobenzaprine (Generic Flexeril 10mg) 180 pills - $159Zanaflex (Generic Tizanidine ) 4mg - 180 Tabs - $156Generic Robaxin ( Methocarbamol ) 750mg 180 tabs - $198Generic Robaxin ( Methocarbamol ) 500mg 180 tabs - $192 Please confirm your order ---Generic Fioricet – 90 Tabs - $169Generic Fioricet – 120 Tabs - $199Generic Fioricet – 180 Tabs - $234Generic Fioricet ( White ) – 180 Tabs - $239Gabapentin 400 mg 180 Tabs - $179Gabapentin 600 mg 180 Tabs - $186Gabapentin 800 mg 180 Tabs - $189Cyclobenzaprine (Generic Flexeril 10mg) 180 pills - $159Zanaflex (Generic Tizanidine ) 4mg - 180 Tabs - $156Generic Robaxin ( Methocarbamol ) 750mg 180 tabs - $198Generic Robaxin ( Methocarbamol ) 500mg 180 tabs - $192 Personal Details Your First Name : Your Last Name : Your Email : Your Phone: Your Zip Code: Billing and Shipping Address Street Address: City: State: Country: Health Questionnaires Date of Birth: mm/dd/year Your Height: ft-in Your Weight: Lbs Gender: ---MaleFemale 1. I agree not to take any over-the-counter medicines without approval from my pharmacist. I AgreeI Disagree If you disagree, please explain why: 2. I agree not to take medication if I am pregnant, breast-feeding, or trying to get pregnant. I AgreeI Disagree If you disagree, please explain why: 3. Please list all current medical conditions including high blood pressure. Choose "None" if none. NoneI will specify Specify all current medical conditions: 4. Is there anything in your medical history that you consider to be relevant? If yes, please specify. Choose "None" if none. NoneI will specify 5. Please list all over-the-counter and prescription medications that you are currently taking and the length of time for each. Choose "None" if none. NoneI will specify 6. Please list all medications that you plan to take while on this program. Choose "None" if none. NoneI will specify 7. Please list all past or present allergies including allergies to any medications. Choose "None" if none. NoneI will specify 8. Please list all past surgeries and provide details including the condition that was treated with each surgery. Choose "None" if none. NoneI will specify 9. Please explain the specific medical reason for ordering this medication. The physician must know the exact nature of your medical problem in order to prescribe this medication. This cannot be left blank. I double checked the information and confirm all the information is correct , and I will pay you a money order when I pick up the drugs. I also know the order cannot be cancelled when I click "place order now" link