{"product_id":"scream-cmpd-sildenafil-1-ergoloid-0-05-pentoxifylline-5-arginine-6-cream","title":"“Scream” CMPD Sildenafil 1% - Ergoloid 0.05% – Pentoxifylline 5% – Arginine 6% Cream - 503A - Patient Specific","description":"\u003cp class=\"xmsonormal\" style=\"margin-bottom: 9.0pt; background: white;\"\u003e\u003cstrong\u003eMust provide the following information:\u003c\/strong\u003e\u003c\/p\u003e\n\u003cp class=\"xmsonormal\" style=\"margin-bottom: 9.0pt; background: white;\"\u003ePatient Full Name\u003c\/p\u003e\n\u003cp class=\"xmsonormal\" style=\"margin-bottom: 9.0pt; background: white;\"\u003ePatient Home Address\u003c\/p\u003e\n\u003cp class=\"xmsonormal\" style=\"margin-bottom: 9.0pt; background: white;\"\u003ePatient Phone Number\u003c\/p\u003e\n\u003cp class=\"xmsonormal\" style=\"margin-bottom: 9.0pt; background: white;\"\u003ePatient Email Address\u003c\/p\u003e\n\u003cp class=\"xmsonormal\" style=\"margin-bottom: 9.0pt; background: white;\"\u003ePatient DOB\u003c\/p\u003e\n\u003cp class=\"xmsonormal\" style=\"margin-bottom: 9.0pt; background: white;\"\u003eDirections\u003c\/p\u003e\n\u003cp class=\"xmsonormal\" style=\"margin-bottom: 9.0pt; background: white;\"\u003eAllergies\u003c\/p\u003e\n\u003cp class=\"xmsonormal\" style=\"margin-bottom: 9.0pt; background: white;\"\u003eShip to Clinic or Ship to Patient:\u003c\/p\u003e\n\u003cp class=\"xmsonormal\" style=\"margin-bottom: 9.0pt; background: white;\"\u003eMD consult name:\u003c\/p\u003e\n\u003cp class=\"xmsonormal\" style=\"margin-bottom: 9.0pt; background: white;\"\u003e \u003c\/p\u003e\n\u003cp class=\"xmsonormal\" style=\"margin-bottom: 9.0pt; background: white;\"\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":42604751290435,"sku":null,"price":36.0,"currency_code":"USD","in_stock":true}],"url":"https:\/\/forumhealthorderinsight.com\/products\/scream-cmpd-sildenafil-1-ergoloid-0-05-pentoxifylline-5-arginine-6-cream","provider":"Forum Health Order Insight","version":"1.0","type":"link"}