Important Safety Information
Full Prescribing Information
Medication Guide
Order Your Syringes
Please complete the following information so we can process your request for more syringes for your EPIDIOLEX® (cannabidiol) prescription.
Packs contain two (2) syringes and a bottle adapter.
Your Order
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Patient/Caregiver
Pharmacy
Please select your role.
Product
1 mL Syringes
5 mL Syringes
Product is required.
Select the syringe size appropriate for the dosage and administration instructions as prescribed by your doctor.
Quantity
Quantity is a required field.
You cannot order more than 50 packs.
NOTE: the maximum order quantity is 50 packs of 2 syringes (100 total) per week per facility.
Quantity
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Quantity is required.
NOTE: the maximum order quantity is 15 packs of 2 syringes (30 total) per week per household.
Name
First Name
First Name is a required field.
Last Name
Last Name is a required field.
Address Information
All fields are required unless otherwise indicated. Jazz Pharmaceuticals respects your privacy.
Address Line 1
To receive your syringes, a valid address is required.
Address Line 2 (Optional)
City
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State
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ZIP Code
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