Affordable RX Canadian Pharmacy - Affordable Prescription Drugs from Canada
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 Pfizer products: Aricept, Bextra, Celebrex, Diflucan, Lipitor, Zoloft, Zyrtec are available for shipping from Canadian pharmacies

Canadian Pharmacy Affilaite Opportunity




Participating Canadian Pharmacies

If you own or operate a pharmacy in Canada and are committed to high standards of patient care and would like to become our Participating Pharmacy Provider, please complete the following preliminary application form.

Affordable RX Participating Canadian Pharmacy Standards

  1. Participating Canadian Pharmacies must require a valid prescription for all prescription medications.
  2. Participating Canadian Pharmacies must offer access to a licensed pharmacist and/or Certified Pharmacy Technician(s).
  3. Participating Canadian Pharmacies must post and disclose any or all fees associated with the filling of a prescription medication.
  4. Participating Canadian Pharmacies sites must maintain all the necessary and applicable licenses in force and agree to inform Affordable RX within 24 hours of any suspension of such license(s) or permit(s).
  5. Participating Canadian Pharmacies agree to answer any complaint within 48 hours of receipt of a complaint received from a consumer. All complaints (whether received by e-mail or snail mail) must be kept on file.
  6. Participating Canadian Pharmacies must ship all the medication into the United States in sealed original manufacturers containers.
  7. Participating Canadian Pharmacies agree that they will not ship narcotic or controlled substances into the United States.
The form could not be submitted because it contains errors...
(required fields are indiciated with an asterisk (*)
Your Name:  *
Pharmacy Name:  *
License Number:
Company Website:  *
Address:  *
City:  *
State:  *
Zip Code:  *
Phone Number:  *
Alternate Phone Number:
Email:  *
Best Time to Reach You:

Tell us a bit about your company:
Can your company handle a large volume of daily Prescription Orders? If so, please explain:
Have your Pharmacy(s) or any individual Pharmacist(s) employed or contracted by you had any applicable license(s) suspended or revoked in the last 5 years? If so, please explain:
Have there been any legal or disciplinary action(s) brought against your Pharmacy(s) or any individual Pharmacist(s) employed or contracted by you in the last 5 years? If so, please explain:
Please give an sample of your prices in USD for such popular medications as Celebrex, Claritin, Lipitor, Zocor, etc.:
(note: you may email your complete pricelist to
Please describe any other fee(s) or charges that you might have besides the cost of medication(s):
How did you hear about us?
Please answer: 1 + 8 =

DISCLAIMER: Information on this site is provided for informational purposes and is not meant to substitute for the advice provided by your own physician or other medical professional. You should not use the information contained herein for diagnosing or treating a health problem or disease, or prescribing any medication. You should read carefully all product packaging. Not all Canadian drugs, Canada prescription and Canadian prescription medicine is available from our discount referral service. If you have or suspect that you have a medical problem, promptly contact your health care provider. Information and statements regarding diet supplements have not been evaluated by Health Canada and are not intended to diagnose, treat, cure, or prevent any disease. All trade and service marks mentioned on this site are recognized as belonging to their respective owners.

FDA, due to the current state of their regulations, has taken the position that virtually all shipments of prescription drugs imported from a Canadian pharmacy by a U.S. consumer will violate the law.

Affordable RX ® - "Your Prescription for Savings" ™