Quality Rx Returns

A Better Approach to Return Goods Processing

Contact Us

2936 Middlebrook Pike

Knoxville, TN 37921

727.499.2211 Phone

877.394.5810 Toll Free

865.951.2497 Fax

222 Request Form

Download Printable Form

*Name

*Address

*City, State Zip
,

*Contact

*Phone

*Fax

*DEA#

*DEA Expiration

*Wholesaler

*Address

*Account Number

Item 1

Number of Packages

Package Size

NDC #

Name of Item

Item 2

Number of Packages

Package Size

NDC #

Name of Item

Item 3

Number of Packages

Package Size

NDC #

Name of Item

Item 4

Number of Packages

Package Size

NDC #

Name of Item

Item 5

Number of Packages

Package Size

NDC #

Name of Item

Item 6

Number of Packages

Package Size

NDC #

Name of Item

Item 7

Number of Packages

Package Size

NDC #

Name of Item

Item 8

Number of Packages

Package Size

NDC #

Name of Item

Item 9

Number of Packages

Package Size

NDC #

Name of Item

Item 10

Number of Packages

Package Size

NDC #

Name of Item

Quality Rx Returns

2936 Middlebrook Pike

Knoxville, TN 37921

Email: admin@qrxreturns.com

727.499.2211 Phone

877.394.5810 Toll Free

865.951.2497 Fax

© 2018 Quality Rx Returns. All Rights Reserved.