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ePharmacy Sales: If you presently sell or are interested in selling the PRL Products through an “ePharmacy,” please also disclose it in the Authorization and registration Form. An “ePharmacy” is a website, micro-site, or other mobile application that (i) is operated by a distributor in a distributor’s legal name or registered fictitious name, (ii) is primarily used to facilitate Product orders from end users on your behalf, (iii) requires the prospective end user to create an account with your preapproval and log-in to purchase the Products, and (iv) is operated in compliance with the terms and conditions set forth in the Premier Research Labs ePharmacy Online Guidelines, which are set forth in the Authorized Professional Resale Agreement of Premier Research Labs, LP.

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FOR INFORMATIONAL PURPOSES ONLY: PRL has a unilateral minimum advertised price policy in the United States for certain of its Products, accessible here (MAP Policy) . The purpose of this section is to alert you to the existence of the MAP Policy. PRL does not solicit and it does not accept any assurances of compliance with the MAP Policy from any of its health professional resellers. The MAP Policy also does not constitute an agreement between PRL or any other person or entity. Each health professional reseller must independently decide whether to comply with the MAP Policy.

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By check this box, I acknowledge that, as an authorized healthcare practitioner enrolled in the Premier Research Labs (“PRL”) Client Direct Program, I am eligible to receive a commission of up to forty percent (40%) on the net sales of PRL products (excluding taxes, shipping, discounts, and fees) purchased directly by clients using my assigned practitioner referral code. I understand that commission eligibility is limited to qualifying orders placed directly with PRL and properly attributed to my referral code through the Client Direct Program. I further acknowledge that PRL may modify the commission rate, payment terms, eligible products, or other aspects of the Client Direct Program at its sole discretion at any time, with or without prior notice.

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By checking this box, I acknowledge that I have been informed of the Premier Research Labs (“PRL”) Client Direct Program and understand its terms, including the availability of commissions for client purchases made directly through PRL using a practitioner referral code. I elect not to participate in the Client Direct Program at this time and voluntarily waive any right to receive commissions on purchases made by my clients through PRL’s Client Direct ordering platform. I understand that I may request to enroll in the Client Direct Program in the future, subject to PRL’s approval and the then-current terms and conditions of the program.

I understand that based on the site and how you have it coded that you may need to make modifications in terms of how it appears on the registration as well as how it appears for existing practitioners. Please let me know if you have any questions or I may help in any way.

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Exquisite cardiovascular and immune support featuring allicin, the legendary OrganoSulfur immune compound*

Allicidin® Broad Spectrum Botanical Immune Support*
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Fully Active Digestive Support For Fats, Carbohydrates, Proteins and Dairy*

Digest, Premier Full-Spectrum Digestive Support*
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Digestive support featuring plant-based pepsin.* For best results use with Premier HCL.

HCL Activator, Premier Promotes Digestive & Whole Body Health*
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Comprehensive liver support formula featuring extracts of milk thistle and artichoke leaf*

HepatoVen™ Premier Detoxification and Liver Support*
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A complete, probiotic-fermented vitamin B complex for energy, mood, liver and brain health*

Max B-ND™ (Fermented) (2 oz) Probiotic-Fermented Vitamin B Complex
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A complete, probiotic-fermented vitamin B complex for energy, mood, liver and brain health*

Max B-ND™ (Fermented) (8 oz) Probiotic-Fermented Vitamin B Complex
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Plant-based, broad-spectrum pancreas formula to support healthy blood sugar levels already within normal range*

PancreVen™ Premier Pancreas and Healthy Blood Sugar Support*

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Liquid 2 items
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Ingredients

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Allicin OrganoSulfur Complex™
Organic Turkey Tails (mycelia, fruiting body, spore) (Coriolus versicolor)
Organic Hysspo (aerial parts) (Hyssopus officinalis)
Organic Parsley (leaf) (Petroselinum crispum)
Premier Enzyme Blend
Plant-Gest^TM Support
Polyphenol Pro Support
Pepsin Digestive Support
Milk Thistle Extract (seed) (Silybum marianum)
Liver Support Blend
Turmeric/Coriolus Blend
Artichoke Extract (whole) (Cynara scolymus)
Thiamin (Vitamin B1 as Thiamine HCl)
Riboflavin (Vitamin B2) (including R-5-P)
Niacin (Vitamin B3) (as Niacinamide)
Vitamin B6 (including pyridoxine HCl, P-5-P)
Folate (5-formyltetrahydrofolate Calcium)
Vitamin B12 (including Adenosylcobalamin, Methylcobalamin, Hydroxycobalamin)
Biotin
Pantothenic Acid (Vitamin B5 as Calcium-d-Pantothenate)
Riboflavin (Vitamin B2) (including R-5-P Riboflavin-5-Phosphate)
Vitamin B6 (including Pyridoxine HCl, P-5-P Pyridoxal-5-Phosphate)
Organic Ceylon Cinnamon (bark) (Cinnamomum verum)
ProBlend Support™

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