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Advocacy Service Application Wizard

To submit your application for free medication, follow three easy steps:
  1. Select the medications from our list of available medications
  2. Login or create a new user account
  3. Complete the short qualification form
We will process and submit your application to the program you selected..

Step 1 - Select Your Medication

To start the process, select all medications you need from the list below:




Copyright © 2012 Medicine Shoppe Xubex Pharmacy. All Rights Reserved. Privacy Statement
This online pharmacy is obligated to comply fully with the Controlled Substances Act and DEA regulations. As part of this obligation, this online pharmacy has applied for a modified DEA registration authorizing it to operate as an online pharmacy. In addition, this online pharmacy will only dispense a controlled substance to a person who has a valid prescription issued for a legitimate medical purpose based upon a medical relationship with a prescribing practitioner. This includes at least one prior in-person medical evaluation in accordance with section 309 of the Controlled Substances Act (21 U.S.C. 829) or a medical evaluation via telemedicine in accordance with section 102(54) of the Controlled Substances Act (21 U.S.C. 802(54)).
You are encouraged to report negative side effects of prescription drugs to the FDA.
Visit www.fda.gov/medwatch, or call 1-800-FDA-1088.