PHARMACY ORDER

Request a Delivery

Fill out the form below to request medical package delivery services

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Number of Packages

â„šī¸ Please enter the number of packages before filling the information
1

Pickup Information

Please enter the pharmacy name
Please enter the pharmacy address
Please enter a valid pharmacy email
Please enter the pharmacy phone number
Please select a pickup date
Please select a pickup time

Price List

Package Price
Quantity of 0-4 $12.00
Quantity of 5-9 $10.00
Quantity of 10-19 $8.00
Quantity of 20+ $6.00
Drive Distance
0-7km $0.00
7.1-15km $2 + Initial Cost
15.1-18km $4 + Initial Cost
+18km special request upon request
Weight Fees
0-9.9kg $0.00
+10kg $30.00
Additional Fees
Morning Peak (7:00 AM - 9:30 AM) +30%
Evening Peak (4:00 PM - 7:00 PM) +35%
After Hours (7:00 PM - 9:00 PM) $30.00
Weekend (Sat/Sun) $30.00

Estimated Cost

Number of Packages 1
Base Rate $12.00
Peak Time Surcharge $0.00
Estimated Total $12.00