• Mifeprex® is sold only to physicians directly, not to pharmacies
• Sale of Mifeprex® is through authorized distributor
• Prescriber’s Agreement must be read
• Complete order form, sign and fax to distributor
• Must also fax copy of MD state license and DEA #
• Minimum order is 3-pill pack
• Price: $270 for three 200-mg. pills ($90/pill)
• Discount price available for pills if National Abortion Federation (NAF) member ($79/pill). To join NAF, call (202) 667-5881
• Pills must be purchased through NAF Group Purchasing to get discount rate
• Payment is by credit card or established line of credit
• Shelf life of Mifeprex® is 18 months
• Any unused, unopened Mifeprex® pills can be returned to distributor for refund or exchange up to one year after expiration date.
• Also included when pills are shipped are: Medication Guides, Patient Agreements, Patient Brochures (Q&A), and CDC Fact Sheet on state abortion reporting guidelines. Patient materials are also available in Spanish.
• There is a toll free on-call provider network of experienced Mifepristone providers available to answer emergency and non-emergency questions:
  Mifeprex® Hotline 1-877-432-7596

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These forms are not intended to provide legal, medical or other professional advice. They are not a substitute for consultation with a healthcare provider or for independent judgment by healthcare providers or other professionals regarding individual conditions and situations.