Pharmaceuticals Order Form

Thank you for choosing to order your pharmaceutical needs via our online ordering system. In order to use this form you will need an account with OptiMed. If you do not have an account please complete our online application form or phone our office on 0800 657720.
Invalid Input

Invalid Input

Invalid Input

Invalid Input

Invalid Input

Please insert desired quantities in space provided. To see a more detailed explanation of these goods please download our pharmaceuticals listing available in the product menu

Invalid Input

Mydriatics and Cycloplegics
Invalid Input

Invalid Input

Invalid Input

Invalid Input

Invalid Input

Invalid Input

Invalid Input

Invalid Input

Local Anaesthetics
Invalid Input

Invalid Input

Antibacterials and Miscellaneous
Invalid Input

Invalid Input

Invalid Input

Invalid Input

Invalid Input

Invalid Input

Lacrimal lavage and Foreign body tools
Invalid Input

Invalid Input

Invalid Input

Invalid Input

Invalid Input

Invalid Input

Dry Eye Solutions
Invalid Input

Invalid Input

Invalid Input

Invalid Input

Invalid Input

Invalid Input

Captcha
Invalid Input