HomeAuthorization LettersAUTHORIZATION LETTERS WHEN BUYING MEDICINE

AUTHORIZATION LETTERS WHEN BUYING MEDICINE

Some pharmacies are looking for an authorization letter when buying medicines, especially if the medication is antibiotics or you cannot buy because of your condition. This sample letter will help you choose the correct format when purchasing medicine. But do not forget to change the details and medications that you want to buy.

authorization-letters-when-buying-medicine-template

AUTHORIZATION LETTERS WHEN BUYING MEDICINE

REQUIREMENTS

OWNER:

  • Original Valid IDs.
  • Signed Authorization Letter for when buying medicines.
  • Doctor’s Prescription.

AUTHORIZED REPRESENTATIVE:

  • Original valid IDs for the representative.
  • Doctor’s Prescription from the owner.
  • Black Pen.

SAMPLE

October 1, 2020

Dear Pharmacist,

I authorize my daughter, Samanta D. Asis, to buy my medicines because I can’t go there personally because of my condition. I need to purchase these medicines as prescribed by my doctor.

Losartan 50mg — 20 pcs.
Prednisone 10mg — 20 pcs.
Co-Trimoxazole 80/400mg — 15 pcs.

Thank you!

Attached are my doctor’s Prescription, Purchase Booklet, and Senior citizen card.

Respectfully Yours,
-signature-
Manilyn D. Asis




FORMAT

[DATE]

Dear Pharmacist,

I authorize my [FAMILY/RELATIVES], [BEARER’S NAME], to buy my medicines because I can’t go there personally because of my condition. I need to purchase these medicines as prescribed by my doctor.

[NAME OF MEDICINE] [DOSAGE] — [QUANTITY]
[NAME OF MEDICINE] [DOSAGE] — [QUANTITY]
[NAME OF MEDICINE] [DOSAGE] — [QUANTITY]

Thank you!

Attached are my doctor’s Prescription, Purchase Booklet, and senior citizen card.

Respectfully Yours,
[SIGNATURE]
[YOUR NAME]

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