Price Match Request Form
Price matching is available for all verified competitor websites that meet identical criteria as the products we offer including brand, strength, quantity, pack size, country of origin and active stock availability. Price matching is available for new orders as well as orders created within the last 7 days. Please fill out the following and we will review and respond as soon as possible.
Your Information
Name
*
First Name
Last Name
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
Have you already placed an order with us?
*
Please Select
Yes
No
If yes, please enter your order number
Medication Details
Medication Name
*
Example: Ozempic, Jardiance, Eliquis
Brand or Generic
Please Select
Brand
Generic
Not Sure
Strength
*
Example: 10 mg, 5 mg, 0.25 mg / 0.5 mg
Quantity/Pack Size
*
Example: 30 tablets, 3 × 3 mL pens, 1 × 10 mL vial, 1 inhaler, 28 capsules, 100 test strips
Lower Price Details
Competitor Website or Pharmacy Name
*
Link to Competitor Product (please paste URL)
*
Competitor Price (per pack)
*
Please include the currency.
Is the product currently in stock?
*
Please Select
Yes
No
Not Sure
Does this price include a promo code, coupon or special membership pricing?
*
Please Select
Yes
No
Not Sure
If yes, please provide the discount details
Example: promo code, sale price, first-time customer discount, membership price, bulk discount, expiry date
Proof of Price
Upload a screenshot of the lower price
Browse Files
Drag and drop files here
Choose a file
Please make sure the screenshot shows the medication name, strength, pack size, price, website URL, and whether the product is in stock.
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Additional Notes
Anything else we should know?
Price match requests are subject to review and verification. We reserve the right to approve or decline any request at our discretion
Please confirm before submitting:
*
I confirm the information provided is accurate and understand that the product must be identical to qualify for review.
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