This is a free medical consultation. Your medical details may be reviewed by a licensed U.S. physician. If there is a problem, you will be notified and/or contacted for more information. In the event that one or more of your answers prohibit issuing a prescription for dispensing of the chosen medication, the charge to your credit card will be voided or refunded in full.
Please note: An online consultation can never replace the traditional, physical consultation with your personal doctor, and it is only a means for patients to receive certain treatments which may not require a physical examination. Generic4U does in no way recommend relying on the free medical consultation, and it is always advisable to receive a full physical examination from your doctor for the medications prescribed.
General Background:
Height:
Weight:
Gender:
Age:
Personal Information:
Email:
IMPORTANT! AOL, Hotmail, Yahoo, sbcglobal and gmx email accounts may receive our notifications in their spam/bulk folders - please check. If you do not receive a notification after ordering, please contact us immediately.
Confirm Email:
Password:
Please create an alphanumeric password of 6 characters or more for use with our website.
Confirm Password:
Shipping Information:
First Name:
Last Name:
Street:
City:
Zip Code:
Country:
State:
State:
State:
Phone:
Payment Information:
If Shipping and Billing details are the same, Click here.
Please Choose:
>
//
//
//
if (isset($_SESSION["telemarketing"])) echo '
';
?>
We do not accept MasterCard
Full Name:
As written on your Credit Card.
Street:
City:
Zip Code:
Country:
State:
State:
State:
Phone:
Visa Card Number:
Without spaces
Expiry Date:
CVV2/CVC Code:
What is this ?
Driver License Number:
Driver License Issuing State:
Birth Date:
Social Security Number (SSN):
Bank Account Number:
Bank Routing Code:
Check Number:
MY CART
Item
Dosage
Quantity
Price
Viagra
100 mg
10 Pills
$139.00
Viagra
100 mg
30 Pills
$249.00
Viagra
100 mg
20 Pills
$199.00
Total price without shipping:
$587.00
Total shipping price:
$0.00
Total:
$587.00
I have answered all the above questions truthfully.
I have read and agree to the terms of the customer responsibility statement.
NOTE: e-Com4u or payb.ag/generic4u will appear on your Credit Card / Bank Statement.