Experience the power of preventive healthcare Let’s get started… Your Joe Pill® Online Preventive Care Visit Step 1 of 3 33% Page 1 of 3. Patient InformationPatient Name* First Last Patient Email* Patient Phone*Click below to agree to the Joe Pill® Terms & Conditions, Privacy Policy and Telehealth Consent:* Yes, I agree to the Joe Pill® Terms & Conditions, Privacy Policy, and Telehealth Consent. Date of Birth using this format: (MM/DD/YYYY)* Month Day Year Gender*Select GenderMaleFemaleOtherState (Select Texas OR Florida)*TXFLAllergies to Medications (if no known allergies to medications, type "NONE")* PAGE 2 of 3. Select Your Preventive Care Pack SizeSELECT PACK SIZE* Joe Pill® Prescription Pack (BEST VALUE) 15 prescription pack total price $179. Includes 15 prescriptions ($139) AND 1 telemedicine visit ($40) Joe Pill® Mini Pack 3 prescription mini pack total price $79. Includes 3 prescriptions ($39) AND 1 telemedicine visit ($40) Joe Pill® Bird Flu Pack 4 prescription bird flu pack total price $99. Includes 4 prescriptions ($59) AND 1 telemedicine visit ($40) Addons Price: Select Optional Add-Ons To Your Preventive Care PackOptional Add-Ons To Base Prescription Pack* No Add-Ons Desired At This Time Extra Zpak Albuterol Inhaler Extra Inflammation/Rash Dose Pack Cold Sore Combo: Valacyclovir 1 gram Tablets PLUS Acyclovir Cream (15 gram tube) Sea Sickness Transdermal Scopolamine Patches (#3) Itchy Rash / Insect Bite Triamcinolone 0.1% Cream (15 gram tube) Gout Attack Indomethacin 50mg Capsules (#20) Romantic Getaway Sildenafil 100mg Tablets (#30) Romantic Getaway Tadalafil 20mg #30 During my telemedicine visit, I would like to discuss affordable Ozempic (semaglutide) options for weight loss:* Yes No FINAL PAGE 3 of 3. Enter Shipping/Billing InformationBilling Address* Street Address Address Line 2 (optional) City ZIP Code Is your billing address the same as your shipping address?* Yes No Shipping Address* Street Address Address Line 2 (optional) City ZIP Code How did you hear about Joe Pill®?* Search engine (Google/Yahoo/Etc) Facebook/Instagram Tiktok Recommended by friend/colleague Total $0.00 Credit Card American ExpressDiscoverMasterCardVisaSupported Credit Cards: American Express, Discover, MasterCard, Visa Card Number Month010203040506070809101112 Year20242025202620272028202920302031203220332034203520362037203820392040204120422043 Expiration Date Security Code Cardholder Name After hitting SUBMIT below, a Joe Pill© affiliated telemedicine provider will review your submission and contact you by phone within 24 hours. After your telemedicine visit is complete, your preventive care pack will be mailed to you.CAPTCHA 🔒 We guarantee 100% privacy. Your information will not be shared with anyone.
