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IPA Store - Order Form **Please enter your username and password – this will ensure you receive member rates and will automatically populate the fields below with your personal information.** User Name    Password Forgot your password? Click here. First Name Last Name Pharmacy FIN (if tax exempt) Mailing Address City State/Zip    Email Phone Fax County ADAIR ADAMS ALLAMAKEE APPANOOSE AUDUBON BENTON BLACK HAWK BOONE BREMER BUCHANAN BUENA VISTA BUTLER CALHOUN CARROLL CASS CEDAR CERRO GORDO CHEROKEE CHICKASAW CLARKE CLAY CLAYTON CLINTON CRAWFORD DALLAS DAVIS DECATUR DELAWARE DES MOINES DICKINSON DUBUQUE EMMET FAYETTE FLOYD FRANKLIN FREMONT GREENE GRUNDY GUTHRIE HAMILTON HANCOCK HARDIN HARRISON HENRY HOWARD HUMBOLDT IDA IOWA JACKSON JASPER JEFFERSON JOHNSON JONES KEOKUK KOSSUTH LEE LINN LOUISA LUCAS LYON MADISON MAHASKA MARION MARSHALL MILLS MITCHELL MONONA MONROE MONTGOMERY MUSCATINE OBRIEN OSCEOLA PAGE PALO ALTO PLYMOUTH POCAHONTAS POLK POTTAWATTAMIE POWESHIEK RINGGOLD SAC SCOTT SHELBY SIOUX STORY TAMA TAYLOR UNION VAN BUREN WAPELLO WARREN WASHINGTON WAYNE WEBSTER WINNEBAGO WINNESHIEK WOODBURY WORTH WRIGHT Out of State/Tax Exempt IPA Apparel Click here for a complete website of IPA men’s apparel, IPA women’s apparel, and IPA outerwear. TakeAway™ Price Quantity TakeAway™ 9” x 12” envelopes Box of 50 TakeAway envelopes are pre-addressed and pre-postage paid to be filled with unused or expired medication and sent by US Postal Service to an assured destruction site. TakeAway envelopes are ideal for pharmacies to sell to patients and customers. $240.00 TakeAway™ 9” x 12” envelopes Box of 250 TakeAway envelopes are pre-addressed and pre-postage paid to be filled with unused or expired medication and sent by US Postal Service to an assured destruction site. TakeAway envelopes are ideal for pharmacies to sell to patients and customers. $950.00 Katy's Kids www.katyskids.com Price Quantity Katy's Kids DVD $20.00 Katy's Kids 'Medicine Safety' Stickers 30 sheets of 15 $22.00 Katy's Kids 'Medicine Safety' Stickers 100 sheets of 15 $65.00 Katy the Kangaroo Costume (Orders for costumes may take up to 8 weeks) $650.00 Katy the Kangaroo Costume rental (costume rental free to IPA members) In-state shipping $30.00 Community Pharmacy Policy and Procedure Manual Price Quantity The Policy and Procedure Manual is a dynamic document that will be sent to your pharmacy on CD. This electronic document is a template that is customizable to your pharmacy operation. Policy and Procedure Manual comes complete with binder, tabs, and specific instructions for customizing. Subscribers will receive quarterly emails including pertinent updates to the P&P as well as spotlighted best practices examples to improve deficiencies. Initial purchase and 12 month subscription included. $750.00 Long Term Care Pharmacy Policy and Procedures Price Quantity This additional template is an add-on P&P for pharmacies that also service nursing homes. Policies and Procedures specific to licensed long term care pharmacies are included. Will be on CD with instructions from customizing. $200.00 Community Pharmacy Policy and Procedure Manual Subscription Renewal Price Quantity A subscription renewal keeps your pharmacy's P&P manual up to date through uninterrupted service with quarterly newsletters and updates. Quarterly newsletters and updates will be sent electronically to subscribers. $200.00 Iowa Pharmacy Law and Information Manual Subscription Price Quantity Iowa state law mandates that each licensed pharmacy maintain an updated copy of the Iowa Pharmacy Law and Information Manual as part of its reference library. This comprehensive manual includes Iowa Code, Board of Pharmacy rules, Controlled Substance laws, as well as Medicaid and other Healthcare Provider rules. Law Manual subscribers will receive updates twice annually. Additionally, subscribers will receive an access code to view an online briefing of updates and changes to the Law Manual. Continuing education will be offered for these updates. $250.00 Student Law Manual Price Quantity The Iowa Pharmacy Law and Information Manual is a comprehensive manual including pertinent sections of Iowa Code, Board of Pharmacy rules, Controlled Substance laws, as well as Medicaid and other Healthcare Provider rules. Students purchasing the Law Manual at this reduced rate will not receive any updates. $100.00 Keep Your Options Open Price Quantity Keep Your Options Open Kit with Video $65.00 Keep Your Options Open Kit with Video (Price if 2 or more ordered at a time) $44.00 Keep Your Options Open Kit with Slides $50.00 Keep Your Options Open Kith with Slides (Price if 2 or more ordered at a time) $28.50 Keep Your Options Open with Both $80.00 Keep Your Options Open with Both (Price if 2 or more ordered at a time) $49.50 Informational Bookmark/Ruler $0.55 Informational Bookmark/Ruler Set of 200 $65.00 Informational Brochure $1.10 Informational Brochure Set of 200 $115.00 Keep Your Options Open Folders $1.45 Keep Your Options Open Folders Set of 200 $240.00 Technician Training Manuals Price Quantity Pharmacy Certified Technician Training Manual $75.00 Pharmacy Poster Price Quantity What We Love About Pharmacy Poster $50.00 2007 Salary Survey Price Quantity Iowa Pharmacist Compensation Survey $30.00

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