uro reg hurt head
 
Welcome to the UROCIT®-K 15 mEq Savings Card Program.

   
For additional offers, patient support and educational
materials, you are encouraged to enroll in our Patient
Information Program.


To print a savings card only without enrolling, select “No, I
need to print a savings card PDF” at the bottom of this
page and deselect the option to receive additional information.



Please complete the following to enroll now.
$480
   
Title:
First Name:
Last Name:
Address 1:
Address 2:
City: State: Zip Code:
Email Address:
Re-Type Email Address:

Birth Date: Month Day Year

 

Please provide your Card ID number:   Example of ID Number

   
 
 
  Copyright © 2010    Mission Pharmacal Company    Please see full Prescribing Information.     Legal/Privacy