We are pleased that you wish to become a provider of Mifeprex.
Mifeprex is only available direct from Danco Laboratories' distributor. To establish your account:
- Read the Prescriber's Agreement
- Complete and sign the Account Setup Form
- Fax the Account Setup Form to Danco Laboratories' distributor at 1-866-227-3343
Your account information will be kept strictly confidential. If you oversee more than one office facility, you will need to list each facility on your order form prior to shipping the first order. If you have any questions regarding account setup or ordering Mifeprex, please call 1-877-432-7596.
The distributor will call to finalize your account setup and take your first order. This is a one-time only process; subsequent orders may be phoned in. Once your account has been established, you will usually receive your order within 24 hours. Unopened, unused product may be returned for a refund or exchange up to a year after the expiration date.
Patient information materials, including Medication Guides and chart-sized Patient Agreement Forms, will be provided together with your order of Mifeprex. If you would like additional patient information materials you may download them by clicking here. You can also order additional materials to be sent directly to your office by downloading the Reimbursement/Additional Materials Order Form and faxing it to the distributor.
Please review the requirements outlined in Providing Mifeprex prior to downloading the Prescriber's Agreement/Account Setup Form.
To view the downloaded Prescriber's Agreement/Account Setup Form, you need Adobe Acrobat Reader (a free program) installed on your computer. If you do not have this program installed on your computer, you can download it from Adobe's Web site.