For medical professionals only: Paxlovid and Molnupiravir order sheets

Click below to download and complete the order form.

437020 DSC PAXLOVID ORDER (EXTERNAL) 012422

437022 DSC MOLNUPIRAVIR ORDER (EXTERNAL) 020422

Fax signed prescription form to the Salem Health Retail Pharmacy (503-814-0407) or
call 503-561-5325, prepared to answer the questions from the form.