New Contraception Order

Select your medication

Send us your prescription. You or your doctor can send us your new prescription using the following options:
(Please note: You can send your prescription after placed your order and paid)

1. Upload Now (Take a photo)

2. Email it to pharmacy@pillsquad.co.za

3. Fax it to 086 549 0000

How will you be paying?

Debit/Credit Card Medical Aid

How many months supply of contraception do you require at a time?

(Please note: Medical aid purchases can only accept up to 2 months prescriptions.)

Select your medical scheme

Medical aid number

Dependant number

(Please note: Medical aid payments will only be accepted if benefits are available.)

Total Cost:

New Contraception Order

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