Potomavac™ – 10 Dose

Thank you for your interest in the Revival Animal
Health Pet Pharmacy! As we continue to grow, we look forward to providing you additional
products and services to assist you with all your prescription needs.  

You can
place a prescription order online or by calling one of our Personal Pet Care Pros at
800-786-4751. In order to receive prescription medications from Revival, we will need
the prescription from your veterinarian. We can accept prescriptions through these
methods:

Your Veterinarian:

Prescription Authorization Forms
Click
here to download our Prescription Authorization Form. You can also
call us at 800-786-4751 or email us at [email protected] to receive
the form. Your veterinarian will need to fill out the form and fax it back to us at
877-335-2680.

Fax
Your veterinarian can fax the original
prescription from their office to our pharmacy at 877-335-2680. We can only accept
faxed prescriptions from a veterinarian, so please do not fax the prescription
yourself.

Phone
Your veterinarian can call our pharmacy directly at
712-737-5555 x134 and authorize the prescription. If our Pharmacists are not
available, please leave a message. All prescription authorizations will require an
order and payment information before we can ship the medications. If your
veterinarian has sent in a prescription form, please place an order online or over
the phone.

You:

MailYou can send the original written
prescription (no photo copies) to:

Revival Animal Health Pet
PharmacyPO Box 200
Orange City, IA 51041

Please include your order number with your prescription.
All prescriptions will remain on file at Revival. Prescriptions are valid for one year
or until the total quantity has been dispensed, whichever happens first.

Click here
for shipping information for prescription items.

A prescription must contain the following
information prior to being filled at a pharmacy.

1. Name of owner

2. Name and species of the animal

3. Name of drug

4. Strength of the drug

5. Dosage form of the drug

6. Quantity of the drug

7. Directions of use

8. Date of issuance

9. Vet’s name with signature and state license number

10. Number of refills authorized

A prescription may be transmitted by facsimile (fax) to the
pharmacy only by the prescribing veterinarian. The prescription can not be
faxed to the pharmacy by the owner of the animal. The owner may obtain the original
prescription from the vet and mail it in.

Federal (U.S.A.) law restricts the
use of Rx drugs to be used by, or on the order of, a licensed Veterinarian.

Please Note: Due to federal and state law, we cannot accept returns of
prescription medications, so please make your selections carefully.