Order Forms & Purchasing Information
Step 1: Download our convenient, easy to fill out electronic order form.
Contact us at 800-572-2648 x 1 or sales@rxscan.com for NDC Translator purchasing information or volume pricing.
Download RxScan Ultra Order Form
Download Plus Prescription Verifier Order Form
Please Note: You will need the free Adobe Reader to view and download the order form.
Step 2: Billing and Shipping information
Fill out the Bill To information. Fill out the Ship To information.
Make sure you fill in your email address and telephone number, in case we have to contact you about your order.
Step 3: Order Information
Fill in the number of each item you wish to order and the form will automatically calculate the total cost for the total number of each item you wish to purchase.
Ohio residents please select 7% Sales Tax. The form will calculate the sales tax in the box next to the words “Sales Tax.”
Enter the shipping charges in the box next to the words “Shipping.” Shipping is $18 for the first item and $6 for each additional item.
Step 4: Reviewing Your Order
Carefully check your order form to make sure the information is correct.
Then sign and date the order.
