1(855) 437-2745 patientservices@idrasil.com

Existing Patients Order Form

To order Idrasil™ you must already be a patient of C3® International, Inc. If you are not yet a patient, please go to the Become a Patient page to fill in the form and begin the process of becoming a patient. If you have any questions regarding the product please email Service@IdrasilRx.com or call 855-437-2745.

Please enter the quantity you wish to refill. Thank you

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