Effectuer un paiement à: Bayshore Rx Spécialisés – Bayshore Diabetes

Sur cette page, vous pouvez effectuer un paiement sur votre compte et compléter votre commande en la facturant directement à votre: Visa, MasterCard, Visa Débit, MasterCard Débit ou American Express.

Votre numéro de compte et le montant dû peuvent être trouvés sur le courriel de la part de notre pharmacie vous informant que votre commande est prête. Veuillez utiliser ce courriel comme référence pour remplir le formulaire de paiement.

Le reçu de votre transaction sera envoyé à l’adresse courriel que vous avez fournie ci-dessous.

Billing Information: Please ensure the following required fields match the name, address and postal code listed at your financial institution

* indicates a required field

By providing your email address you authorize Bayshore to communicate with you via that email and to send you an emailed receipt.
Client/Patient Information used to identify the individual to whom Bayshore Specialty Rx - Bayshore Diabetes is providing product for

Optional Convenient Service

Optional Convenient Auto Fill, Auto Bill™ Service: Bayshore Specialty Rx Ltd., ("Bayshore") would like to offer you a higher level of customer service with its "Auto Fill, Auto Bill™" Program. By selecting this box, you are on your way to a more convenient ordering experience. Bayshore will automatically bill your insurance and your co-pay (if applicable) to the credit card you use today. Your order will filled and shipped automatically, without you lifting a finger to call or ordering online. This service may be cancelled at least four (4) days prior to any refill by contacting Bayshore 1-888-236-4034 between the hours of 8am and 8pm, Monday through Friday excluding statutory holidays in the province of Ontario or by email to cancelme@bayshore.ca.

Your Payment used to authorize the charge to the credit card

Processing Payment ...


Secure Electronic Payment Processing