Our Pharmacy

Sildenafil



Name:___________________ DOB:_______




Sildenafil 20mg tablets

SIG: Take 1-5 tablets as needed

Do Not Exceed 5 tablets per day

Quantity: #50



_____ Refills



Prescriber:________________NPI:______________  Date:_________

Signature:_____________________________


Fax to 724-867-6644 or Escribe to Linmas Drugs Inc Emlenton Pa 16373
Phone 724-867-2400


Prescribers:
Avoid pharmacy calls to your office.... All prescriptions MUST be written for Sildenafil 20mg tablets.
We can NOT fill prescriptions written for generic Viagra, nor sildenafil 50 or 100 mg tablets.

Pricing available at www.Linmas.com


Last Updated: 5/24/2018