This is a Restricted Product, and can only be purchased by a physician.

To purchase this product, please have a licensed physician complete a Physician Only Authorization Form and return it to us, along with a copy of his/her Medical License. We will only ship to the address completed on the authorization form. 

Please fax documents to 315-797-0365 Attn: Restricted Authorization or mail to:

Mohawk Medical Mall
Restricted Account Set-Up
PO Box 27
Utica, NY 13501  

This product cannot be returned due to the nature of the storage and possibility of the product being compromised.

If you have any questions regarding this policy, please contact customer service at 855-366-4295.