U.S. PHARMACEUTICAL APPLICATION

Transcription

1 N Indianwood Avenue, Broken Arrow, OK Phone: Fax: order@blessing.org U.S. PHARMACEUTICAL APPLICATION *PLEASE FILL OUT COMPLETELY*A NEW APPLICATION IS REQUIRED FOR EVERY ORDER* BILLING INFORMATION Organization Name E.I.N. (Federal Tax ID #) - Billing Contact Billing Address Zip Phone Is this a home address or a church/business address? *Please note this will be used to transmit invoices. If there is another person responsible for paying invoices for this account, please indicate below. Alternate Billing Contact Alternate Billing Contact Phone Alternate Billing Contact SHIPPING OR PICKUP INFORMATION *IF THIS ORDER WILL BE PICKED UP, PLEASE FILL OUT SHIPPING INFO WITH PICK UP PERSON S NAME & PHONE NUMBER Please ship order I will pick up order Last date you can accept backorders Special instructions? Organization Name Contact Person c/o Business Name Address Zip Is this a residential address? Yes No Phone Alt Phone Is this the first time the above ministry has used our services? Yes No Please tell us how you found about about Blessings FIRST TIME USERS, PLEASE SEE OUR INSTRUCTIONS ONLINE. PREPAYMENT AND 501(C)3 LETTER MUST BE SUBMITTED. PLEASE SEE PAGE 2 FOR SIGNATURE & ADDITIONAL REQUIREMENTS. INCOMPLETE APPLICATIONS MAY BE DELAYED IN PROCESSING. RECEIPT OF YOUR ORDER WILL BE CONFIRMED VIA SENT TO THE BILLING CONTACT PERSON. IF YOU DO NOT RECEIVE AN ORDER ACKNOWEDGE- MENT VIA WITHIN 3 BUSINESS DAYS, PLEASE CONTACT US AT IT MEANS WE DID NOT RECEIVE YOUR ORDER. MEDICAL PROFESSIONAL INFORMATION Application must be signed by a physician or medical clinic representative. Copy of medical license or medical clinic license required. Please see our instructions for complete details. SIGNATURE REQUIRED ON PAGE 2. Name Title Address Zip Phone Alt Phone FORM US 1 of 8 U.S. Pharmaceutical Application Page 1

2 2 U.S. PHARMACEUTICAL APPLICATION TO BE FILLED OUT AND SIGNED BY MEDICAL PROFESSIONAL AND RETURNED WITH COPY OF YOUR MEDICAL LICENSE & MINISTRY S 501(C)3 LETTER (IF NOT ALREADY ON FILE) SIGNED COPY MUST BE FAXED BEFORE ORDER CAN BE PROCESSED REQUIREMENTS OF MEDICAL MISSIONS Signature by physician or medical clinic personnel licensed in the state to where the order is being shipped is required for ALL orders. If ordering only vitamins or over-the-counter medicines, signature may be by any person responsible for the order. The following is a list of operational requirements which U.S. outreaches must meet and concur with before Blessings International will commence and/or continue shipments of pharmaceuticals and supplies to them. 1. If a clinic or hospital is operated, there must be a permit from the state of its location. 2. A medical professional must be responsible for the appropriate utilization, dispensation, and safety in storage of all drugs. 3. Pharmaceuticals obtained from Blessings International should be used only for the treatment of indigent patients. 4. Pharmaceuticals must not be used in a government operated hospital or clinic except by specific permission. 5. Pharmaceuticals will be distributed and employed in a way that glorifies God. 6. We request that an annual report of activities be provided each year. I have read and accept responsibilty to fulfill all of the Requirements of Medical Missions as the conditions for the management and distribution of all pharmaceuticals and/or medical supplies obtained through Blessings International. Signature of Medical Professional/*Person Responsible Title Printed Name of Medical Professional/*Person Responsible Date FORM US 2 of 8 U.S. Pharmaceutical Application Page 2

3 01/19/16 Unit Legend M = 1,000 Examples: 15M = 15,000 25M = 25,000 Blessings International 1650 N. Indianwood Avenue, Tulsa, OK USA Telephone Fax info@blessing.org Website: US CLINICS These medicines are to be used solely for the ill, needy, or infants. Medicines are not for sale or resale. The handling charge may be changed at any time. Please note all handling changes are subject to change due to market price fluctuations and availability. We make every attempt to secure the absolute lowest handling charge. All Pharmaceutical dating will be within BI dating requirements of 6 months to 1 year of expiring for order date. B.I. Code Exp. Dates 000 TABLETS AND CAPSULES ANTACIDS AND ANTIFLATULENTS 0057U Omeprazole 20mg caps, delayed-release (LIKE PRILOSEC) x 100 $ Ranitidine 15mg/ml 16oz (75mg/5ml) x 1 $ U Ranitidine 150mg tabs x 500 $31.90 ANALGESICS 1209 Acetaminophen 80mg children's chewable fruit flavoredtabs x 30 $ Acetaminophen 325mg tabs x 1M $ Acetaminophen 500mg tabs x 1M $ Acetaminophen suppositories 120mg (pediatric) x 12 $ Aspirin 325mg film coated tabs x 1M $ Aspirin 81mg enteric coated, adult, DR tabs: not chewable x 1M $ U Ibuprofen 200mg tabs x 1M $ U Ibuprofen 600mg film coated tabs x 500 $ U Ibuprofen 800mg tabs x 500 $ U Meloxicam 7.5mg tabs x 100 $ U Meloxicam 7.5 mg tabs x 1M $ U Meloxicam 15mg tabs x 100 $ U Meloxicam 15 mg tabs x 1M $ Naproxen sodium 220mg tabs x 100 $ Naproxen sodium 550mg tabs x 100 $9.30 ANTIBIOTICS, ANTIBACTERIALS 3946U Amoxicillin 250mg (chewable) tabs x 100 $ U Amoxicillin 500mg caps x 500 $ U Cephalexin 250mg caps x 100 $ U Cephalexin 500mg caps [LIKE KEFLEX] x 100 $ U Cephalexin 500mg caps [LIKE KEFLEX] x 500 $ U Ciprofloxacin 500mg tabs x 100 $ U Ciprofloxacin 500mg tabs x 500 $ Dicloxacillin sodium 250mg cap x 100 $ Clindamycin 150mg caps x 100 $ Minocycline HCl 100mg caps x 50 $ U Sulfamethoxazole 400mg & trimethoprim 80mg tabs [LIKE BACTRIM SS] x 500 $ U Sulfamethoxazole 800mg, trimethoprim 160mg DS tabs [Like BACTRIM or SEPTRA] x 500 $31.50 ANTIVIRALS 4313U Acyclovir 200mg tabs [LIKE ZOVIRAZ] ANTIDIARRHEALS & ANTISPASMOTIC x 100 $ Bismuth subsaliclate 262mg chewable tabs [LIKE PEPTOBISMAL TABS] x 30 $2.40 ANTIHISTAMINE, DECONGESTANTS, 4213U Cetirizine HCl 10mg tabs ZYRTEC x 100 $ Chlorpheniramine maleate 4mg tabs x 1M $ Cough drops cherry flavored x 720 $ Cough drops honey lemon flavored x 720 $ Cough drops Menthol flavor x 720 $ Diphenhydramine 50mg, caps [LIKE BENADRYL] x 1M $ Diphenhydramine HCl 25mg caps [LIKE BENADRYL] x 1M $ U Loratadine 10mg tabs [LIKE CLARITIN] x 100 $ Promethazine HCl 25mg tabs [LIKE PHENERNAN] x 100 $6.00 MISCELLANEOUS 3519 Estradiol 0.5mg tabs x 100 $ Estradiol 1mg tabs x 100 $ U Simvastatin 10mg tabs(scored) x 90 $ U Simvastatin 10mg tabs x 1M $ U Simvastatin 10mg tabs x 500 $ U Simvastatin 20mg tabs x 90 $ U Simvastatin 20mg tabs x 1M $ U Simvastatin 20mg tabs x 500 $ U Simvastatin 40mg tabs x 30 $ U Simvastatin 40mg tabs x 90 $5.05

4 Pharmaceutical Bulletin for US Clinics Only Page 2 of 6 ANTIHYPERTENSIVES AND DIURETIC 4573U Atenolol 50mg tabs x 100 $ U Atenolol 50mg tabs (once daily dosing) x 1M $ U Atorvastatin 20mg (Lipitor) x 90 $ U Furosemide 40mg tabs [LIKE LASIX] x 1M $ U Hydrochlorothiazide 25mg tabs [LIKE HYDRODIURIL] x 1M $ U Lisinopril 10mg tabs x 100 $ U Lisinopril 10mg tabs x 1M $ U Losartan potassium 50mg tabs x 90 $ Metoprolol 50mg tabs BID [LIKE LOPRESSOR] x 100 $ Metoprolol 50mg tabs BID [LIKE LOPRESSOR] x 1M $ Terazosin HCl 5mg caps x 100 $5.65 ANTIINFLAMMATORY AND ANTIGOUT 3495U Ibuprofen 400mg tabs x 500 $ U Ibuprofen 600mg tabs [like RUFEN] x 500 $ Naproxen sodium 550mg tabs x 100 $ Naproxen Sodium 550mg tabs x 500 $ Prednisone 10mg tabs(scored) x 100 $ Prednisone 20mg tabs(scored) x 100 $ Prednisone 5mg tabs DELTASONE x 100 $3.60 ANTIPSYCHOTICS, ANTIDEPRESSANTS, 2030 Fluoxetine 20mg caps PROZAC x 500 $ Fluoxetine 20mg cap x 1M $ Sertraline HCL 25mg [LIKE ZOLOFT] x 90 $ Sertraline HCL 25mg [LIKE ZOLOFT] x 30 $ Sertraline HCL 25mg [LIKE ZOLOFT] x 500 $ Trazodone HCI 150mg tabs x 500 $ Trazodone HCl 150mg tabs [like DESYREL] x 100 $ U Gabapentin 100mg caps x 100 $ U Gabapentin 300mg caps x 100 $ U Gabapentin 300mg caps x 500 $ Levetiracetam 250mg tabs [LIKE KEPPRA] x 120 $ Phenytoin sodium 100mg caps PROMPT x 100 $35.30 ANTISPASMODIC, ANTICHOLENERGIC 4565 Dicyclomine HCl 10mg caps [LIKE BENTYL] x 100 $ Metoclopramide 5mg tabs [LIKE REGLAN] x 500 $ Promethazine HCl 25mg tabs [LIKE PHENERNAN] x 100 $7.25 BRONCHIAL DILATORS 3928U Albuterol 2mg tabs x 500 $ U Albuterol 4mg tabs x 500 $ Albuterol sulfate 0.083% 2.5mg/3ml inhalation solution x 25 $ Aminophylline 100mg tabs x 100 $34.50 CARDIAC GLYCOSIDES, ANTIARRHYMICS, 1250M Amlodipine 5mg tabs [LIKE NORVASC] x 1M $ Clopidogrel 75mg tabs [LIKE PLAVIX] x 30 $ Verapamil HCl 80mg tabs x 1M $ U Verapamil HCl 80mg tabs x 100 $ Warfarin sodium 5mg tabs [LIKE COUMADIN] x 100 $7.95 DIABETES, HYPOGLYCEMICS 4364U Glipizide 5mg tabs [LIKE GLUCOTROL] x 1M $ U Glipizide 10mg tabs [LIKE GLUCOTROL] x 500 $ U Metformin HCI 500mg tabs [LIKE GLUCOPHAGE] x 500 $ U Metformin HCI 500mg tabs [LIKE GLUCOPHAGE] x 1M $ U Metformin HCI 500mg tabs [LIKE GLUCOPHAGE] x 100 $ Metformin HCI 850mg, tabs [LIKE GLUCOPHAGE] x 500 $ U Metformin HCI 850mg, tabs [LIKE GLUCOPHAGE] x 1M $ U Metformin HCl 1000mg tabs [LIKE GLUCOPHAGE] x 500 $ U Metformin HCl 1000mg tabs [LIKE GLUCOPHAGE] x 1M $ Metformin HCl 850mg tabs [LIKE GLUCOPHAGE] x 100 $3.90 LAXATIVES 3609 Bisacodyl 5mg tabs x 1M $ Docusate sodium 100mg soft gels x 100 $ Docusate sodium 100mg soft gels x 1M $16.50 MUSCLE RELAXANT, MINOR TRANQUILIZERS 3507 Methocarbamol 500mg tabs x 500 $ U Cyclobenzaprine HCl 10mg tabs [LIKE FLEXERIL] x 100 $ U Cyclobenzaprine HCl 10mg tabs [LIKE FLEXERIL] x 1M $24.00 VITAMINS, MINERALS 2193 Multivit: Children chewable without iron Vit-A 2500IU;Vit-D3 400IU; x 1M $19.60 Vit-B1 1.05mg; Vit-B2 1.2mg; Vit-B6 1.05mg; Vit-B12 4.5mcg; Vit-C 60mg; Vit-E 15IU;Niacin 13.5mg 2197 Multivit: Children chew w/iron: x 1M $ Multivitamins w/fe &I: x 1M $ Multivitamins: with out iron VitA 5000IU;VitC60mg;VitD-3 400IU;VitB-1VitB- 2 x 1M $ mg;Niacin 20mg; VitB-6 2mg;VitB-12 6mcg;VitE30IU;Foliate 400mcg;Pantothenic Acid 1mg;

5 Pharmaceutical Bulletin for US Clinics Only Page 3 of TOPICALS GENERAL TOPICALS 2836 Aspirin-free pain relief cream analgesic rub 3oz-w/aloe x EA $3.10 trolamine salicylate 10% [ARTHRICREAM] 4499 Hemorrhoidal rectal suppositories [LIKE PREPARATION H] x 12 $ U Hydrocortisone 1% cream 1oz (30gm) tube x 6 $ Menthol 10%,Methyl salicytate 15%:3oz (90g) [LIKE BEN-GAY] x 6 $ Vitamin A & D ointment foil packs 5g x 144 $ White Petrolatum foil packs 5g x 144 $11.35 ANTIBIOTICS AND ANTISEPTICS 4392 Bacitracin 500 units ointment 1.0gm foil packets x 144 $ Bacitracin zinc 400 units, neomycin 3.5mg, polymyxin Bsulfate 5,000 x 6 $16.20 units ointment 1oz (28.4gm) tube [LIKE NEOSPORIN] 2211 Bacitracin zinc, neomycin sulfate, polymyxin B sulfate ointment 0.9gm x 144 $19.15 foil packets [TRIPLE ANTIBIOTIC] 4355U Clotrimazole 1% antifungal cream 1/2oz (15gm) [LIKE LOTRIMIN] x 6 $ U Clotrimazole antifungal 1% cream 1oz (30gm) tube [LIKE LOTRIMIN] x 6 $ Miconazole nitrate 2% cream 1oz (30gm) tube [LIKE MICOTIN] x 6 $ Povidone iodine 10% topical solution 128oz (3784ml)gallon x 1 $ Povidone iodine 10% topical solution 16oz (473 ml) pint x 1 $ Silver sulfadiazine 1% cream 400gm jar x 1 $ U Silver sulfadiazine 1% cream 50gm jar [LIKE SILVADENE 1%] x 1 $ Tolnaftate 1% cream 1/2oz (15gm) tube x 6 $9.45 OPHTHALMICS & OTICS 8100 Reading Glasses-variety pack assorted powers-from +1/+1.25/+1.5/+1.75/+2/+2.5 x 19 $ Glasses for near-sighted (-1.0 to -4.5)adjustable on side of each ear piece. x EA $ Carbamide peroxide 6.5% ear drops w/dropper 1/2 oz x 1 $ Ciprofloxacin 0.3% sterile ophthalmic solution 10ml CILOXAN x 1 $ Ciprofloxacin 0.3% sterile ophthalmic solution 5ml x 1 $ U Gentamicin sulfate 0.3% ophthalmic solution; 5ml x 1 $ Lubricant eye drops 8 pks of 4 sterile 0.02 fl oz x 32 $ Lubricant eye drops polyvinyl alcohol 1.4% 14mg1/2oz (15ml) [like x 12 $20.90 LIQUITEARS] 4665 Ofloxacin.3% Otic Solution 10ml-ear drops [ LIKE FLOXIN OTIC] x 1 $ Tetrahydrozoline HCl Ophth drops 0.05% 1/2oz (15ml) OPTI-CLEAR x 12 $ Timolol Maleate Ophthalmic solution 0.5%: 10ml x 1 $3.25 VAGINALS 3194U Clotrimazole vaginal cm USP 1%antifungal 45gm (1.5 oz) w/app x 1 $ U Fluconazole 150mg, tab [LIKE DIFLUCAN] _OUT x 12 $ LIQUIDS ANTACIDS AND ELECTROLYTES 4120 Magnesium hydroxide 400mg; 12oz (Milk of Magnesia) Mint x EA $2.50 ANALGESIC LIQUIDS, SYRUPS 2437 Acetaminophen drops 80mg/0.8ml; 15ml x 1 $ Acetaminophen drops 80mg/0.8ml 30ml x 1 $ Acetaminophen elixir 160mg /5ml;4fl.oz. (118ml) x 1 $ Acetaminophen elixir 160mg/5ml; 16oz x 1 $ Ibuprofen for o/s 100mg/5ml; 4oz x 1 $ Loratadine 5mg/5ml solution 4 fl.oz. (118ml) x 1 $6.00 ANTIBIOTICS, LIQUID OR FOR SUSPENSIONS 4205U Amoxicillin 600mg, clavulanate potassium 42.9mg:5mL/125mL for o/s x EA $ U Amoxicillin for o/s 125mg/5ml;100ml x 12 $ U Amoxicillin for o/s 250mg/5ml:100ml x 12 $ Amoxicillin for o/s 400mg/5ml;50ml BID x 6 $10.25 ANTIHISTAMINE, DECONGESTANTS, COUGH & COLD 1673 Diphenhydramine HCL 12.5mg/5ml 4oz x 1 $ Diphenhydramine HCl elixir 12.5mg/5ml; 16oz [LIKE BENADRYL] x 1 $ Guaifenesin 100mg dextromethorphan 10mg/5ml expectorant suppressant x 12 $ oz [like ROBITUSSIN DM] 2773 Guaifenesin 100mg/5ml 4 fl.oz. x EA $ Guaifenesin syrup 100mg/5ml; 16oz [LIKE ROBITUSSIN] x 1 $2.85 ANTIHISTAMINE, NASAL SPRAYS AND ASTHMA 2358 Promethazine HCl syrup, 6.25mg/5ml alcohol ; 1pint (473ml) PROMETH x 1 $ Ranitidine HCl 15mg/ml 16oz (75mg/5ml) ZANTAC x 1 $14.40 NASAL SPRAYS AND ASTHMA 2268 Albuterol sulfate syrup 2mg/5ml; 1 pint (473ml)***SPECIAL*** [LIKE x 1 $4.90 [VENTOLIN] 4516 Nasal saline decongestant spray 15ml x 1 $ Nasal saline spray ONLY 45ml (Ocean spray) x 1 $1.15 VITAMINS - LIQUID, POWDER AND NUTRITIONAL SUPPLEMENTS 3082 Ferrous sulfate elixir 220mg/5ml; 16oz (473ml) x 1 $ Infant Multivitamin drops w/iron: A-1500 IU, D-400 IU,E-5 IU, C-35mg, x 6 $20.25 B1-0.5mg, B2-0.6mg, Niacin 8mg,B6-0.4mg, Iron 10mg/1ml (50ml) 1 2/3oz dropper bottle [LIKE POLY-VI-SOL W/IRON]

6 Pharmaceutical Bulletin for US Clinics Only Page 4 of INJECTABLES ANESTHETICS 4572 Eprinephrine 1:1000(1mg/ml) 30ml x EA $ Lidocaine 1% w/epinephrine 10mg/ml:20ml (MDV) x EA $ Lidocaine 2% w/ epinephrine 10mg/ml:30ml (MDV) x 1 $ Lidocaine HCl 1% inj. 10mg/ml;50ml (MDV) x 1 $ Lidocaine HCl 2% for inj. 50ml (MDV) x EA $2.40 ANTIBIOTICS 4129 Cefazolin inj. 1gm IM or IV powder s.d.v. x 25 $ Ceftriaxone sodium 1gm str pdr for IM or IV, 6ml s.d.v. [LIKE ROCEPHIN] x EA $ Ceftriaxone sodium 250mg pwd for IM or IV, 6ml s.d.v. [LIKE ROCEPHIN] x EA $2.05 MISCELLANEOUS, VITAMINS 2946 Bacteriostatic water for inj. USP (not for newborns)sterile 30ml m.d.v. x EA $ Dexamethasone inj. 4mg/mL; 30mL m.d.v. x EA $ Diphenhydramine HCl inj. 50mg/ml 10ml m.d.v. [LIKE BENADRYL] x 1 $ Furosemide inj. 10mg/ml; 2ml s.d.v. x EA $ I.V. 5% Dextrose 500ml: bag [D5W] x 1 $ Phenytoin sodium 50mg/ml 5ml (SDV) x 1 $ Promethazine HCL 50mg/ml 1ml [LIKE PHENERGAN] x EA $ Sodium chloride 0.9% 500ml Irrigation only(bottle) x EA $ Sodium chloride 0.9% inj. 10mls.d.v. x EA $ BANDAGES & SURGICAL SYRINGES, TAPE, GAUZE, MISC Adhesive bandage 1" x 3" sterile non-stick [LIKE BAND-AIDS] x 100 $ Adhesive flexible fabric bandage 3/4"x3" sterile non-stick [LIKE BAND- x 100 $ Alcohol prep pads 200/box x 200 $ Butterfly wound closures 1/2 x2 3/4 x 100 $ Butterfly wound closures 3/8 x1 7/8 x 100 $ Cap Nurse's blue x 100 $ Catheter foley, silicone coated, retention 5cc, 12 Fr x 10 $ Catheter foley, silicone coated, retention 5cc, 14 Fr x 10 $ Catheter foley, silicone coated, retention 5cc, 16 Fr x 10 $ Catheter foley, silicone coated, retention 5cc, 18 Fr x 10 $ Cotton tip applicators 6" non-sterile x 100 $ Elastic bandage 2" x 5 yds. x 10 $ Elastic bandage 3" x 4.5 yds. x 10 $ Elastic bandage 4" x 4.5 yds. x 10 $ Face mask ear loop x 50 $ Gauze sponge 2x2x8 ply in ready to sterilize bag x 200 $ Gauze sponge 4x4x8 ply in ready to sterilize bag x 200 $ Gauze sponge 4x4x8 ply sterile bag(2 sponges/env) x 50 $ Gauze sponge 4x4x8 ply sterilize bag (2 sponges/env) x 25 $ Gauze sterile 4.5" x 147" 6 ply roll krinkled x 1 $ Gauze-sterile 2x2x8ply (2 sponges/env)sterile x 50 $ Gloves latex surgical sterile (pairs) size 6 1/2 x 50 $ Gloves latex surgical sterile (pairs) size 7 x 50 $ Gloves latex surgical sterile (pairs) size 7 1/2 x 50 $ Gloves latex surgical sterile (pairs) size 8 x 50 $ Gloves latex surgical sterile (pairs) size 8 1/2 x 50 $ Gloves light powder latex (large) x 100 $ Gloves light powder latex (M) medium x 100 $ Gloves light powder latex (S) small x 100 $ Gloves powder free Nitrile (L)large x 100 $ Gloves powder free Nitrile (M)medium x 100 $ Gloves latex powder free small x 100 $ I.V. administration set 105" tube-60drops/ml-2 inject sites x EA $ I.V. catheter/needle unit; 18G1" INSYTE-W x EA $ I.V. catheter/needle unit; 20G1" INSYTE-W x EA $ I.V. catheter/needle unit; 22G1" INSYTE-W x EA $ IV Start Kit:1/tourniquet- 2/gauze sponge (2x2-8ply)- 1/ID label-1/transparent x EA $1.30 dres1/tape (3/4x18)-1/PVP pad- 1/alcohol pad 4575 Medicine cups 1oz disposable:100 cups per bag x 100 $ Needle ONLY 21G x 1.5" x 100 $ Needle ONLY 25G x 1" x 100 $ Needle ONLY 18G x 1.5" x 100 $ Needle only 25G x 5/8" x 100 $ Obsterical Kit:1 pr str gloves1 drape sheet,2 umbilical clamps str,2 O.B. towelettes x 1 $ O.B.Pad str, 1plastic bag for placenta,6 gauze sponges 1 bulb syringe,4 disposable towels 2 nylon tie-offs,scalpe twist ties, rec-ing b 2 alcohol preps medium, 4300 PICTURE DOSING LABELS ONLY/same design that's on 3x4 baggies-10 labels x 10 $0.55 to unit FDA approval materials 4468 Povidone Iodine prep pads x 100 $ Scalpel #10 blade sterile x 100 $ Scalpel #10 blade sterile attached to handle x 10 $ Scalpel #11 blade sterile x 100 $ Scalpel #11 blade sterile attached to handle x 10 $ Scalpel #15 blade sterile x 100 $15.55

7 Pharmaceutical Bulletin for US Clinics Only Page 5 of Scalpel #15 blade sterile attached to handle x 10 $5.40 SYRINGES, TAPE, GAUZE, MISC Shoe cover, non-skid (pairs) x 100 $ Sterilization Pouch 7.5x13 self-sealing x 200 $ Syringe 10cc 20Gx1 1/2" L/L x 100 $ Syringe 10cc without needle x 100 $ Syringe 1cc 25Gx5/8" L/L x 100 $ Syringe 1cc 27G x 1/2" x 100 $ Syringe 1cc without needle x 100 $ Syringe 3cc 21G x 1 1/2" L/L x 100 $ Syringe 3cc 22Gx1 1/2" L/L x 100 $ Syringe 3cc 23G x 1" L/L x 100 $ Syringe 3cc 23Gx 1 1/2" L/L x 100 $ Syringe 3cc 25g x 1" x 100 $ Syringe 3cc without needle x 100 $ Syringe 5cc 21G x 1 " L/L x 100 $ Syringe 5cc 21G x 1 " L/L x 100 $ Syringe 5cc 21G x 1 1/2" L/L x 100 $ Syringe 5cc 22G x 1 1/2" L/L x 100 $ Syringe 5cc without needle x 100 $ Tape, adhesive surgical paper 1"x10 yards hypoallergenic x 12 $ Tongue depressor blades adult 6" x 3/4" x 500 $ Tongue depressor blades junior x 500 $ Towel Drape disposable, sterile x 50 $ Toothbrushes,pre pasted x 20 $ Toothpaste w/flouride 1.5oz x 12 $ Unna Boot Bandage 3" x 10 yds rasonic tip, Assy.P/N x 1 $ Zip lock bags 3"x4"x2mil; with picture dosing & white block or writing FDA x 100 $2.50 approved materials 4542 Zip lock bags 3"x5"x2mil; plain (20 units of 100 = 1 cs)double bagged will hold x 100 $3.00 up 120mg liquid 900 EQUIPMENT & MISCELLANEOUS VAGINALS 3245 Lubricating jelly sterile 2oz x EA $ L Vaginal specula (large) ready to use-disposable x 10 $ M Vaginal specula (medium) ready to use - disposable x 10 $ S Vaginal specula (small) ready to use - disposable x 10 $3.25 EQUIPMENT & MISCELLANEOUS tsp child medicine spoon x 10 $ oz empty plastic cough syrup bottles x 10 $ Asthma Mentor-peak flow meter adult or pediatric x 1 $ Blood glucose monitor; includes True Track monitor, manual, carrying x 1 $5.00 case, 10 lancets, lancing device, and log book 9002 Blood glucose test strips; True Track use only x 50 $ Cauterie disposable fine tip, high temperature,4 year shelf life x 1 $ Ear Syringe 1oz x 1 $ Empty-1/2oz round hinged lid plastic container- can be used to divide up x 30 $7.50 creams/ointments 8100 Reading Glasses-variety pack assorted powers-from +1/+1.25/+1.5/+1.75/+2/+2.5 x 19 $ Glasses for near-sighted (-1.0 to -4.5)adjustable on side of each ear piece. x EA $ Lancets; for use with all monitors requiring 30g x 100 $ D Nebulizer handheld AC adapter Pediatric-Digger Dog w/dog House carrying bag-5ml x 1 $45.00 medicine cup, angled mouthpiece, 7" air tubing, child mask, and instructions in Spanish 3666 Nebulizer handheld AC adapter Pediatric-Margo-Moo portable red barn x 1 $57.75 carrying case 3664 Nebulizer handheld AC adapter included x 1 $ Ophthalmoscope/Otoscope w/eurolight (E10) requires 2 " C" batteries [KaWe] x 1 $ R Otoscope economy x 1 $ A Otoscope-disposable ear specula - Adult x 100 $ C Otoscope-Disposable ear specula - Child x 100 $ Pill Crusher, crush tablets into a powder x 1 $ Pregancy test, one step, simple to read x EA $ Sharps- container red large 10qt (biohazard waste) x 1 $ Blood Pressure Monitor w/large cuff & AC adapter, comes w/4aabatteries x EA $ Sphygmomanometer adult precision aneroid nylon cuff x 1 $ Sphygmomanometer child (precision aneroid) w/blue nylon cuff x 1 $ Sphygmomanometer infant (precision aneroid) w/blue nylon cuff x 1 $ Sphygmomanometer XL adult precision aneroid nylon cuff x 1 $ Stethoscope fetal 22" black vinyl Y-tubing x 1 $ Stethoscope spectrum dual head x 1 $ Stethoscope spectrum nurse, black x 1 $ Tablet cutter x 1 $ Tablet/Pill, tray counter w/spa x 1 $ Thermometer DIGISCAN multi-function ear &forehead scan-talking x 1 $25.00 In, English & Spanish (no probe covers with this one) -(probe covers # 4332)

8 Pharmaceutical Bulletin for US Clinics Only Page 6 of Thermometer DIGITAL w/beeper, memory, and fever alarm, 5 probe _out x 1 $5.65 covers, storage case, battery included.(probe covers #3153) 4332 Thermometer probe covers DIGITAL EAR disposable TENDER TEMP x 40 $6.10 PROBE COVERS 3153 Thermometer probe covers DIGITAL oral disposable x 50 $ Urine dip test strips: glucose, protein, nitrite, ph, blood, and leukocytes; x 100 $32.25 visual testing [LIKE URISTIX 4] Blessings wants to thank all the US Clinics that help the people in the States. All Pharmaceutical dating will be within BI dating requirements of 6mos to 1 year of expiring for order date. Unless posted as exprired. Like us on facebook to keep current on our benevolent projects, participate in our surveys, and connect with other medical missions teams.