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Order details

Note: You must add at least one product to your order by clicking above before submitting this form, or your order will not be placed.

Product Name Form Strength Total Quantity Pack Size PIP/Line Code

By clicking submit, you are sending a written order to Quantum Pharmaceutical which will be confirmed back to you in writing by either fax or e-mail, depending on your account preferences.

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Other ways to order:


0800 439 372

Complete our order form and fax it to 0800 439 378

What happens next?

Once you ordered, we'll confirm by phone, fax or email.

99.6% of specials manufactured in-house and ordered before 6pm are delivered the next morning. Check out our cut-off times here. Goods will be delivered with fully priced paperwork and a Certificate of Conformity.