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Your personal code can be found on the
order form in your activation pack.

Enter your personal code  

Your Details

If you don't have your personal code, enter your Pharmacy postcode to lookup your address, click Go and choose it from the dropdown

Title *

Title Required

First Name *

First Name Required

Last Name *

Last Name Required

Job Title *

Job Title Required

Pharmacy Name *

Pharmacy Name Required

Address 1 *

Address 1 Required

Address 2
Address 3
Town *

Town Required

Postcode *
Pharmacy Telephone
Pharmacy Email *

Email Required

Flexiqule pack
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Number of Packs Usual Price Promo Price Promo Deal Promo POR Order
6 £13.98 £13.28 £13.28 37%
12 £27.96 £25.16 £25.16 40%
18 £41.94 £35.65 £35.65 43%
Order Total:

*excluding normal wholesaler discount

Scroll this table to the side to see more details

Do you currently stock Flexiqule?
My telephone no. *

Preferred wholesaler: (please tick) *

Account No.

Orders will be delivered within 7 to 10 days.