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Our Company
Latest Company News
About Us
Contact Us
Account Application
Login
Search
T&C's
Products
Diagnostic
Consulting Room Furniture
Consulting Room Instruments
Pre Test Room Equipment
Dry Eye
Imaging
Miscellaneous testing Items
Diagnostic & Surgical Lenses
Handheld and Headworn Diagnostics
Ex Demo and Traded
Surgical Products
Operating Microscopes
Lasers
Procedure Chairs
Surgical Instruments
Biometry
Ultrasound
Cross Linking
Lists and Details
All Categories of Products
Our Manufacturers
My Wish List
Compare Products
My details
Lens Edging & Dispensing
Lens Edgers
Tracers
Dispensing
Order
Support
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.
Name
*
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Practice Name
*
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Practice Address
*
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Email Address
*
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Store # if applicable
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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
I require an esky to keep goods cool
*
Yes
No
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Mydriatics and Cycloplegics
Cyclopentolate0.5%
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Cyclopentolate1.0%
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Phenylephrine 2.5%
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Phenylephrine 10%
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Tropicamide 0.5
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Tropicamide 1.0%
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Mydriacyl 0.5%
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Mydriacyl 1.0%
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Local Anaesthetics
Oxybuprocaine0.4%
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Alcaine
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Antibacterials and Miscellaneous
Chloramphenicol
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Medical Swabs (200)
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OptiStrips FL 100
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Optistrips FL-300
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Schirmer Tear Test with Blue Mark
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Lacrimal lavage and Foreign body tools
25g Lacrimal Cannula
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3ml syringe - 20
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rubber tool for removing foreign bodies
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Meibomian Gland Expression Forcep
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Blephex Tips packs of 20x4
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Stephens Lacrimal Dilator - Double Ended
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Dry Eye Solutions
Blephadex Wipes Box of 30
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Blephadex Foam 50ml Bottle
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Xailin Gel 10g Tube
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Bruder Single Eye Hydrating Compress
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Bruder Double Eye Hydrating Compress
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Anything else you would like?
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Captcha
*
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