{"product_id":"minoxidil-7-azelaic-acid-5-finasteride-0-1-niacinamide-5-scalp-suspension-1","title":"Minoxidil 7% - Azelaic acid 5% – Finasteride 0.1% - Niacinamide 5% Scalp Suspension - 503A - Patient Specific","description":"\u003cp\u003etopical 30ml\u003cbr\u003e\u003c\/p\u003e\n\u003cp style=\"margin-bottom: 9.0pt; background: white;\" class=\"xmsonormal\"\u003e\u003cstrong\u003eMust provide the following information:\u003c\/strong\u003e\u003c\/p\u003e\n\u003cp style=\"margin-bottom: 9.0pt; background: white;\" class=\"xmsonormal\"\u003ePatient Full Name\u003c\/p\u003e\n\u003cp style=\"margin-bottom: 9.0pt; background: white;\" class=\"xmsonormal\"\u003ePatient Home Address\u003c\/p\u003e\n\u003cp style=\"margin-bottom: 9.0pt; background: white;\" class=\"xmsonormal\"\u003ePatient Phone Number\u003c\/p\u003e\n\u003cp style=\"margin-bottom: 9.0pt; background: white;\" class=\"xmsonormal\"\u003ePatient Email Address\u003c\/p\u003e\n\u003cp style=\"margin-bottom: 9.0pt; background: white;\" class=\"xmsonormal\"\u003ePatient DOB\u003c\/p\u003e\n\u003cp style=\"margin-bottom: 9.0pt; background: white;\" class=\"xmsonormal\"\u003eDirections\u003c\/p\u003e\n\u003cp style=\"margin-bottom: 9.0pt; background: white;\" class=\"xmsonormal\"\u003eAllergies\u003c\/p\u003e\n\u003cp style=\"margin-bottom: 9.0pt; background: white;\" class=\"xmsonormal\"\u003eShip to Clinic or Ship to Patient:\u003c\/p\u003e\n\u003cp style=\"margin-bottom: 9.0pt; background: white;\" class=\"xmsonormal\"\u003eMD consult name:\u003c\/p\u003e\n\u003cp style=\"margin-bottom: 9.0pt; background: white;\" class=\"xmsonormal\"\u003e \u003c\/p\u003e\n\u003cp style=\"margin-bottom: 9.0pt; background: white;\" class=\"xmsonormal\"\u003e\u003cstrong\u003eIf the information is incomplete, this may result in delays. Please see your emails for communication regarding your order.\u003c\/strong\u003e\u003c\/p\u003e","brand":"Pro Arts","offers":[{"title":"Default Title","offer_id":42604751716419,"sku":null,"price":50.0,"currency_code":"USD","in_stock":true}],"url":"https:\/\/forumhealthorderinsight.com\/products\/minoxidil-7-azelaic-acid-5-finasteride-0-1-niacinamide-5-scalp-suspension-1","provider":"Forum Health Order Insight","version":"1.0","type":"link"}