Nicotine Lollipops

 

Flavor

Call for availability

(Many flavors available)

 

Milligram

_____ 4 mg


 

 
Price

$19.15 / 5 lollipops

Quantity (Sold in multiples of 5)
________ 5
________ 10
________ 15
 
 
Nicotine Lollipop

Nicotine Polacrilex in Sorbital Base with Stevia Extract as sweetener and flavoring.

Sig: Place lollipop in mouth when you have the urge to smoke. When craving subsides, place lollipop back in contain for reuse when you experience your next craving. One lollipop lasts 3-4 cigarette breaks.


http://www.healthwayrx.com

Michael E. Collins, R.Ph., FIACP
Carrie M. Wilson, Pharm.D.
Amy L. Dwyer, R.Ph.

Prescription Compounding Specialists

2544 McLeod Dr., N.
Saginaw, Michigan 48604
Local: (989) 791-1691
Toll Free: 1-866-883-8868
Fax Number: (989) 791-4603

1008 N. Saginaw Street
St. Charles, Michigan 48655
Local: (989) 865-9971
Toll Free: 1-800-742-7527
Fax Number: (989) 865-6216

 

Patient Information

Date: ________________
Patient’s Name: ____________________________________________ 
Address: _________________________________________________
City: _________________________ State/Zip: __________________
Phone #: _(____)___________________
 

Physician Information

Physician Name: ____________________________________________________
Address: _________________________________________________________
City: ___________________________________ State/Zip: _________________
Phone #: _(_____)__________________________________
DEA No. _________________________________________

Physician's Signature __________________________________________MD/DO