There are three easy ways in which you can order ‘Specials’ from Mandeville Medicines:

1. Telephone 01296 394142. Please note that all telephone orders must be confirmed in writing before supply can be made.

2. Print off either the Existing Account PDF Order Form if you are an existing customer,

or the New Account PDF Order Form if this is the first time that you will be ordering from

Mandeville Medicines, complete the form and fax it to 01296 397223.

3. Fill in the order form below and submit it on-line.


Only those persons who are legally entitled to be in possession of unlicensed medicines are permitted to order ‘Specials’ through this website. Fraudulent orders from non-bona fide customers will be reported to the relevant authorities.

Please check your order carefully. An order may not be cancelled once submitted and processed and returns will not be accepted unless there has been an error on the part of Mandeville Medicines. Please check the terms and conditions of sale before proceeding. Please note that Mandeville Medicines will conduct a bona fide check on all orders. Orders received via the website (including faxed PDF forms) will be verified by telephone.

Mandeville Medicines Enquiry/Order Form

Contact Name: *
Telephone Number: *
E-mail: *
Account Postcode: *
Account Name: *
Account Address: (Not required for existing customers)
Delivery Address: (If different to account address)

Order Details:

Please note that for security reasons only one product may be ordered per form. If you require more than one product please submit a new order form for each product. Thank you!

Quantity: *
Pack Size: *
Product Name, Formula or Unique ManMed Product Code: *

The Unique ManMed product code can be found on ManMed product labels. This code can be used to order exact product repeats and helps prevent potential product identification errors.

Comments: (include any special instructions)
Pricing - please select the required option *

If you require the price of your order to be confirmed then please submit the order form without completing the final section.

If you DO NOT require confirmation of price then please complete the final section and submit the form.

In placing this order I hereby certify that we are a bona fide customer legally entitled to be supplied with the product ordered above and we agree to be bound by the Mandeville Medicines Terms and Conditions July 2013

Order placed by:
Registration No.: (for CD orders only)
Please validate your order or price enquiry by typing in the characters in the box:

Please note that orders cannot be cancelled once they have been processed. Should you become aware of the need to cancel your order then you must contact 01296 394142 immediately. Orders are queued for processing which may take between 30 minutes to 4 hours which provides a limited opportunity to cancel an order.