Multi-Dose Pill Packaging Waitlist

Custom Prescription Packaging Interest Form

For patients interested in custom multi-dose prescription packaging
St. Paul Corner Drug provides custom multi-dose prescription packaging to patients who need this service to ensure safe and accurate dosing of their medication. Patients of ours who have utilized this service may have physical disabilities such as low vision or Parkinson's Disease, or find their medication regimen overwhelming or confusing to set up themselves.

Your pills will be sorted into pods in customized blister packaging to take up to four times daily (e.g., morning, lunch, dinner, bedtime). The color-coded pods will be labeled with the time of day they should be taken as well as the date, patient name, and list of medications included in that pod. Our patients find it a relief to have their pills set up in this way for them, at a price that is oftentimes cheaper than having a nurse or other healthcare worker visit their home.

Click here to read more information about our multi-dose pill packaging service and pricing.
Full name*

First NameLast Name
Date of birth*

MonthDayYear
Date
Phone number*
Please enter a valid phone number.
If you are a caregiver requesting this service on behalf of someone else, please include the following information:
Full name

First NameLast Name
Relationship to Patient
Phone number
Please enter a valid phone number.
Who currently sets up this Patient's medications?*

SelfCaregiver (e.g., a family member, friend, or PCA)Nursing service
Why are you interested in utilizing our custom prescription packaging service?*
Is there anything else you'd like us to know?
Thank you for your interest in our custom prescription packaging service!

As soon as we’re able, one of our Pharmacists will follow up with you and use the information you provided in this form to determine if this service would be the right fit for you.
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Custom Prescription Packaging Interest Form