U.S. PHARMACEUTICAL APPLICATION

1 1650 N Indianwood Avenue, Broken Arrow, OK 74012 Phone: 918.250.8101 Fax: 918.250.1281 Email: order@blessing.org www.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? Email *Please note this email 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 Email 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 Email 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 EMAIL SENT TO THE BILLING CONTACT PERSON. IF YOU DO NOT RECEIVE AN ORDER ACKNOWEDGE- MENT VIA EMAIL WITHIN 3 BUSINESS DAYS, PLEASE CONTACT US AT 918.250.8101. 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 Email FORM US 1 of 8 U.S. Pharmaceutical Application Page 1

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

01/19/16 Unit Legend M = 1,000 Examples: 15M = 15,000 25M = 25,000 Blessings International 1650 N. Indianwood Avenue, Tulsa, OK 74012 USA Telephone 918-250-8101 Fax 918-250-1281 Email: info@blessing.org Website: www.blessing.org 2016 - 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 $7.45 1947 Ranitidine 15mg/ml 16oz (75mg/5ml) x 1 $19.90 3319U Ranitidine 150mg tabs x 500 $31.90 ANALGESICS 1209 Acetaminophen 80mg children's chewable fruit flavoredtabs x 30 $1.30 2644 Acetaminophen 325mg tabs x 1M $6.70 4056 Acetaminophen 500mg tabs x 1M $9.60 2249 Acetaminophen suppositories 120mg (pediatric) x 12 $3.00 2646 Aspirin 325mg film coated tabs x 1M $9.00 4029 Aspirin 81mg enteric coated, adult, DR tabs: not chewable x 1M $9.27 4008U Ibuprofen 200mg tabs x 1M $16.80 2918U Ibuprofen 600mg film coated tabs x 500 $33.00 3384U Ibuprofen 800mg tabs x 500 $39.75 4009U Meloxicam 7.5mg tabs x 100 $2.25 4012U Meloxicam 7.5 mg tabs x 1M $17.85 4011U Meloxicam 15mg tabs x 100 $2.25 4013U Meloxicam 15 mg tabs x 1M $17.95 4564 Naproxen sodium 220mg tabs x 100 $6.55 3943 Naproxen sodium 550mg tabs x 100 $9.30 ANTIBIOTICS, ANTIBACTERIALS 3946U Amoxicillin 250mg (chewable) tabs x 100 $34.15 3469U Amoxicillin 500mg caps x 500 $32.25 3150U Cephalexin 250mg caps x 100 $7.90 3648U Cephalexin 500mg caps [LIKE KEFLEX] x 100 $11.95 4631U Cephalexin 500mg caps [LIKE KEFLEX] x 500 $50.25 4401U Ciprofloxacin 500mg tabs x 100 $16.15 0211U Ciprofloxacin 500mg tabs x 500 $73.40 3158 Dicloxacillin sodium 250mg cap x 100 $48.85 3423 Clindamycin 150mg caps x 100 $9.00 2942 Minocycline HCl 100mg caps x 50 $14.10 1965U Sulfamethoxazole 400mg & trimethoprim 80mg tabs [LIKE BACTRIM SS] x 500 $36.00 1496U 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 $8.65 3430 Bismuth subsaliclate 262mg chewable tabs [LIKE PEPTOBISMAL TABS] x 30 $2.40 ANTIHISTAMINE, DECONGESTANTS, 4213U Cetirizine HCl 10mg tabs ZYRTEC x 100 $5.20 3100 Chlorpheniramine maleate 4mg tabs x 1M $6.00 4532 Cough drops cherry flavored x 720 $25.50 4034 Cough drops honey lemon flavored x 720 $25.50 4035 Cough drops Menthol flavor x 720 $25.50 4500 Diphenhydramine 50mg, caps [LIKE BENADRYL] x 1M $17.50 2779 Diphenhydramine HCl 25mg caps [LIKE BENADRYL] x 1M $15.30 4201U Loratadine 10mg tabs [LIKE CLARITIN] x 100 $7.05 4246 Promethazine HCl 25mg tabs [LIKE PHENERNAN] x 100 $6.00 MISCELLANEOUS 3519 Estradiol 0.5mg tabs x 100 $7.45 0602 Estradiol 1mg tabs x 100 $2.85 0612U Simvastatin 10mg tabs(scored) x 90 $2.45 6611U Simvastatin 10mg tabs x 1M $19.90 0611U Simvastatin 10mg tabs x 500 $15.75 0613U Simvastatin 20mg tabs x 90 $3.55 6614U Simvastatin 20mg tabs x 1M $32.95 6613U Simvastatin 20mg tabs x 500 $15.75 0617U Simvastatin 40mg tabs x 30 $2.70 0619U Simvastatin 40mg tabs x 90 $5.05

Pharmaceutical Bulletin for US Clinics Only Page 2 of 6 ANTIHYPERTENSIVES AND DIURETIC 4573U Atenolol 50mg tabs x 100 $1.75 4598U Atenolol 50mg tabs (once daily dosing) x 1M $14.20 0726U Atorvastatin 20mg (Lipitor) x 90 $19.45 4630U Furosemide 40mg tabs [LIKE LASIX] x 1M $12.00 4365U Hydrochlorothiazide 25mg tabs [LIKE HYDRODIURIL] x 1M $8.70 0701U Lisinopril 10mg tabs x 100 $2.95 0715U Lisinopril 10mg tabs x 1M $18.75 4220U Losartan potassium 50mg tabs x 90 $4.45 4451 Metoprolol 50mg tabs BID [LIKE LOPRESSOR] x 100 $2.40 4450 Metoprolol 50mg tabs BID [LIKE LOPRESSOR] x 1M $21.00 3817 Terazosin HCl 5mg caps x 100 $5.65 ANTIINFLAMMATORY AND ANTIGOUT 3495U Ibuprofen 400mg tabs x 500 $19.45 2918U Ibuprofen 600mg tabs [like RUFEN] x 500 $22.45 3943 Naproxen sodium 550mg tabs x 100 $8.95 4311 Naproxen Sodium 550mg tabs x 500 $36.00 4367 Prednisone 10mg tabs(scored) x 100 $13.80 4253 Prednisone 20mg tabs(scored) x 100 $8.55 1611 Prednisone 5mg tabs DELTASONE x 100 $3.60 ANTIPSYCHOTICS, ANTIDEPRESSANTS, 2030 Fluoxetine 20mg caps PROZAC x 500 $15.85 4559 Fluoxetine 20mg cap x 1M $22.50 0900 Sertraline HCL 25mg [LIKE ZOLOFT] x 90 $3.40 0901 Sertraline HCL 25mg [LIKE ZOLOFT] x 30 $1.45 0903 Sertraline HCL 25mg [LIKE ZOLOFT] x 500 $18.40 4548 Trazodone HCI 150mg tabs x 500 $54.55 3744 Trazodone HCl 150mg tabs [like DESYREL] x 100 $12.00 3675U Gabapentin 100mg caps x 100 $3.00 3676U Gabapentin 300mg caps x 100 $6.85 3061U Gabapentin 300mg caps x 500 $30.20 4466 Levetiracetam 250mg tabs [LIKE KEPPRA] x 120 $12.00 1045 Phenytoin sodium 100mg caps PROMPT x 100 $35.30 ANTISPASMODIC, ANTICHOLENERGIC 4565 Dicyclomine HCl 10mg caps [LIKE BENTYL] x 100 $4.20 3600 Metoclopramide 5mg tabs [LIKE REGLAN] x 500 $26.35 4246 Promethazine HCl 25mg tabs [LIKE PHENERNAN] x 100 $7.25 BRONCHIAL DILATORS 3928U Albuterol 2mg tabs x 500 $49.50 3927U Albuterol 4mg tabs x 500 $58.00 3989 Albuterol sulfate 0.083% 2.5mg/3ml inhalation solution x 25 $3.75 4455 Aminophylline 100mg tabs x 100 $34.50 CARDIAC GLYCOSIDES, ANTIARRHYMICS, 1250M Amlodipine 5mg tabs [LIKE NORVASC] x 1M $17.85 3848 Clopidogrel 75mg tabs [LIKE PLAVIX] x 30 $4.55 1255 Verapamil HCl 80mg tabs x 1M $58.75 4261U Verapamil HCl 80mg tabs x 100 $6.60 4212 Warfarin sodium 5mg tabs [LIKE COUMADIN] x 100 $7.95 DIABETES, HYPOGLYCEMICS 4364U Glipizide 5mg tabs [LIKE GLUCOTROL] x 1M $20.65 3965U Glipizide 10mg tabs [LIKE GLUCOTROL] x 500 $15.15 4410U Metformin HCI 500mg tabs [LIKE GLUCOPHAGE] x 500 $11.05 4551U Metformin HCI 500mg tabs [LIKE GLUCOPHAGE] x 1M $22.00 4004U Metformin HCI 500mg tabs [LIKE GLUCOPHAGE] x 100 $2.55 4306 Metformin HCI 850mg, tabs [LIKE GLUCOPHAGE] x 500 $17.55 4314U Metformin HCI 850mg, tabs [LIKE GLUCOPHAGE] x 1M $34.45 4305U Metformin HCl 1000mg tabs [LIKE GLUCOPHAGE] x 500 $41.25 4558U Metformin HCl 1000mg tabs [LIKE GLUCOPHAGE] x 1M $32.95 4624 Metformin HCl 850mg tabs [LIKE GLUCOPHAGE] x 100 $3.90 LAXATIVES 3609 Bisacodyl 5mg tabs x 1M $7.05 1605 Docusate sodium 100mg soft gels x 100 $2.20 2973 Docusate sodium 100mg soft gels x 1M $16.50 MUSCLE RELAXANT, MINOR TRANQUILIZERS 3507 Methocarbamol 500mg tabs x 500 $41.15 2682U Cyclobenzaprine HCl 10mg tabs [LIKE FLEXERIL] x 100 $3.00 3909U 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 $22.00 2158 Multivitamins w/fe &I: x 1M $17.00 4059 Multivitamins: with out iron VitA 5000IU;VitC60mg;VitD-3 400IU;VitB-1VitB- 2 x 1M $17.00 1.7mg;Niacin 20mg; VitB-6 2mg;VitB-12 6mcg;VitE30IU;Foliate 400mcg;Pantothenic Acid 1mg;

Pharmaceutical Bulletin for US Clinics Only Page 3 of 6 200 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 $1.80 3585U Hydrocortisone 1% cream 1oz (30gm) tube x 6 $7.95 4600 Menthol 10%,Methyl salicytate 15%:3oz (90g) [LIKE BEN-GAY] x 6 $10.10 2338 Vitamin A & D ointment foil packs 5g x 144 $15.10 2342 White Petrolatum foil packs 5g x 144 $11.35 ANTIBIOTICS AND ANTISEPTICS 4392 Bacitracin 500 units ointment 1.0gm foil packets x 144 $13.65 4522 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 $9.00 4371U Clotrimazole antifungal 1% cream 1oz (30gm) tube [LIKE LOTRIMIN] x 6 $14.70 2173 Miconazole nitrate 2% cream 1oz (30gm) tube [LIKE MICOTIN] x 6 $10.35 3368 Povidone iodine 10% topical solution 128oz (3784ml)gallon x 1 $22.20 4469 Povidone iodine 10% topical solution 16oz (473 ml) pint x 1 $3.15 4539 Silver sulfadiazine 1% cream 400gm jar x 1 $19.15 3838U Silver sulfadiazine 1% cream 50gm jar [LIKE SILVADENE 1%] x 1 $9.75 2181 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 $14.25 2020 Glasses for near-sighted (-1.0 to -4.5)adjustable on side of each ear piece. x EA $13.50 2291 Carbamide peroxide 6.5% ear drops w/dropper 1/2 oz x 1 $1.75 2424 Ciprofloxacin 0.3% sterile ophthalmic solution 10ml CILOXAN x 1 $7.15 2429 Ciprofloxacin 0.3% sterile ophthalmic solution 5ml x 1 $4.40 2317U Gentamicin sulfate 0.3% ophthalmic solution; 5ml x 1 $1.70 4000 Lubricant eye drops 8 pks of 4 sterile 0.02 fl oz x 32 $15.00 3322 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 $5.75 3207 Tetrahydrozoline HCl Ophth drops 0.05% 1/2oz (15ml) OPTI-CLEAR x 12 $18.00 4625 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 $4.05 4442U Fluconazole 150mg, tab [LIKE DIFLUCAN] _OUT x 12 $32.25 400 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 $1.75 3509 Acetaminophen drops 80mg/0.8ml 30ml x 1 $2.05 3314 Acetaminophen elixir 160mg /5ml;4fl.oz. (118ml) x 1 $1.45 3239 Acetaminophen elixir 160mg/5ml; 16oz x 1 $4.10 3931 Ibuprofen for o/s 100mg/5ml; 4oz x 1 $4.75 3187 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 $10.90 3677U Amoxicillin for o/s 125mg/5ml;100ml x 12 $28.80 3171U Amoxicillin for o/s 250mg/5ml:100ml x 12 $42.30 4650 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 $1.45 3807 Diphenhydramine HCl elixir 12.5mg/5ml; 16oz [LIKE BENADRYL] x 1 $3.45 1117 Guaifenesin 100mg dextromethorphan 10mg/5ml expectorant suppressant x 12 $16.40 4oz [like ROBITUSSIN DM] 2773 Guaifenesin 100mg/5ml 4 fl.oz. x EA $1.35 3434 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 $6.00 1947 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 $1.10 4454 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 $3.55 3968 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]

Pharmaceutical Bulletin for US Clinics Only Page 4 of 6 500 INJECTABLES ANESTHETICS 4572 Eprinephrine 1:1000(1mg/ml) 30ml x EA $13.40 5100 Lidocaine 1% w/epinephrine 10mg/ml:20ml (MDV) x EA $3.15 5104 Lidocaine 2% w/ epinephrine 10mg/ml:30ml (MDV) x 1 $4.25 3640 Lidocaine HCl 1% inj. 10mg/ml;50ml (MDV) x 1 $2.40 1991 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 $44.50 4632 Ceftriaxone sodium 1gm str pdr for IM or IV, 6ml s.d.v. [LIKE ROCEPHIN] x EA $3.75 4645 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 $1.15 3836 Dexamethasone inj. 4mg/mL; 30mL m.d.v. x EA $30.35 2506 Diphenhydramine HCl inj. 50mg/ml 10ml m.d.v. [LIKE BENADRYL] x 1 $1.65 3598 Furosemide inj. 10mg/ml; 2ml s.d.v. x EA $0.65 5406 I.V. 5% Dextrose 500ml: bag [D5W] x 1 $3.00 5403 Phenytoin sodium 50mg/ml 5ml (SDV) x 1 $1.90 4574 Promethazine HCL 50mg/ml 1ml [LIKE PHENERGAN] x EA $4.25 4091 Sodium chloride 0.9% 500ml Irrigation only(bottle) x EA $3.15 4497 Sodium chloride 0.9% inj. 10mls.d.v. x EA $0.70 700 BANDAGES & SURGICAL SYRINGES, TAPE, GAUZE, MISC. 3195 Adhesive bandage 1" x 3" sterile non-stick [LIKE BAND-AIDS] x 100 $2.50 3732 Adhesive flexible fabric bandage 3/4"x3" sterile non-stick [LIKE BAND- x 100 $2.35 4464 Alcohol prep pads 200/box x 200 $1.80 4562 Butterfly wound closures 1/2 x2 3/4 x 100 $2.70 4563 Butterfly wound closures 3/8 x1 7/8 x 100 $1.90 4517 Cap Nurse's blue x 100 $5.45 4593 Catheter foley, silicone coated, retention 5cc, 12 Fr x 10 $9.00 4594 Catheter foley, silicone coated, retention 5cc, 14 Fr x 10 $10.55 4595 Catheter foley, silicone coated, retention 5cc, 16 Fr x 10 $11.70 4596 Catheter foley, silicone coated, retention 5cc, 18 Fr x 10 $19.95 4506 Cotton tip applicators 6" non-sterile x 100 $0.45 7100 Elastic bandage 2" x 5 yds. x 10 $3.85 4513 Elastic bandage 3" x 4.5 yds. x 10 $5.25 4512 Elastic bandage 4" x 4.5 yds. x 10 $7.00 3209 Face mask ear loop x 50 $2.80 3208 Gauze sponge 2x2x8 ply in ready to sterilize bag x 200 $1.15 3361 Gauze sponge 4x4x8 ply in ready to sterilize bag x 200 $2.70 4494 Gauze sponge 4x4x8 ply sterile bag(2 sponges/env) x 50 $4.15 4337 Gauze sponge 4x4x8 ply sterilize bag (2 sponges/env) x 25 $2.05 3141 Gauze sterile 4.5" x 147" 6 ply roll krinkled x 1 $1.15 2098 Gauze-sterile 2x2x8ply (2 sponges/env)sterile x 50 $2.00 4588 Gloves latex surgical sterile (pairs) size 6 1/2 x 50 $25.25 4589 Gloves latex surgical sterile (pairs) size 7 x 50 $21.95 4590 Gloves latex surgical sterile (pairs) size 7 1/2 x 50 $25.20 4591 Gloves latex surgical sterile (pairs) size 8 x 50 $25.15 4592 Gloves latex surgical sterile (pairs) size 8 1/2 x 50 $22.70 4529 Gloves light powder latex (large) x 100 $7.50 4528 Gloves light powder latex (M) medium x 100 $7.50 4527 Gloves light powder latex (S) small x 100 $5.95 4523 Gloves powder free Nitrile (L)large x 100 $7.50 4524 Gloves powder free Nitrile (M)medium x 100 $7.50 4418 Gloves latex powder free small x 100 $6.60 3017 I.V. administration set 105" tube-60drops/ml-2 inject sites x EA $4.40 3011 I.V. catheter/needle unit; 18G1" INSYTE-W x EA $1.00 3012 I.V. catheter/needle unit; 20G1" INSYTE-W x EA $1.00 3013 I.V. catheter/needle unit; 22G1" INSYTE-W x EA $1.10 3560 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 $1.05 7139 Needle ONLY 21G x 1.5" x 100 $6.15 7140 Needle ONLY 25G x 1" x 100 $6.00 7135 Needle ONLY 18G x 1.5" x 100 $6.45 7141 Needle only 25G x 5/8" x 100 $5.65 3300 Obsterical Kit:1 pr str gloves1 drape sheet,2 umbilical clamps str,2 O.B. towelettes x 1 $7.80 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 $4.35 7500 Scalpel #10 blade sterile x 100 $14.42 2118 Scalpel #10 blade sterile attached to handle x 10 $5.40 3140 Scalpel #11 blade sterile x 100 $14.60 2122 Scalpel #11 blade sterile attached to handle x 10 $6.20 3139 Scalpel #15 blade sterile x 100 $15.55

Pharmaceutical Bulletin for US Clinics Only Page 5 of 6 2121 Scalpel #15 blade sterile attached to handle x 10 $5.40 SYRINGES, TAPE, GAUZE, MISC. 3515 Shoe cover, non-skid (pairs) x 100 $7.80 1781 Sterilization Pouch 7.5x13 self-sealing x 200 $19.45 4509 Syringe 10cc 20Gx1 1/2" L/L x 100 $22.50 7127 Syringe 10cc without needle x 100 $15.00 4439 Syringe 1cc 25Gx5/8" L/L x 100 $17.25 7130 Syringe 1cc 27G x 1/2" x 100 $12.15 7125 Syringe 1cc without needle x 100 $10.85 3391 Syringe 3cc 21G x 1 1/2" L/L x 100 $9.15 4440 Syringe 3cc 22Gx1 1/2" L/L x 100 $9.15 3387 Syringe 3cc 23G x 1" L/L x 100 $12.20 4495 Syringe 3cc 23Gx 1 1/2" L/L x 100 $12.20 7128 Syringe 3cc 25g x 1" x 100 $12.20 7126 Syringe 3cc without needle x 100 $10.35 3975 Syringe 5cc 21G x 1 " L/L x 100 $16.95 3975 Syringe 5cc 21G x 1 " L/L x 100 $17.65 3976 Syringe 5cc 21G x 1 1/2" L/L x 100 $12.20 4121 Syringe 5cc 22G x 1 1/2" L/L x 100 $17.65 7129 Syringe 5cc without needle x 100 $12.85 3783 Tape, adhesive surgical paper 1"x10 yards hypoallergenic x 12 $6.00 3364 Tongue depressor blades adult 6" x 3/4" x 500 $4.65 1161 Tongue depressor blades junior x 500 $4.25 4467 Towel Drape disposable, sterile x 50 $13.34 1687 Toothbrushes,pre pasted x 20 $ 5.00 1688 Toothpaste w/flouride 1.5oz x 12 $ 3.20 1785 Unna Boot Bandage 3" x 10 yds rasonic tip, Assy.P/N 316-1332-501. x 1 $5.05 4257 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 $1.20 9090L Vaginal specula (large) ready to use-disposable x 10 $3.75 9090M Vaginal specula (medium) ready to use - disposable x 10 $3.40 9090S Vaginal specula (small) ready to use - disposable x 10 $3.25 EQUIPMENT & MISCELLANEOUS 9001 2 tsp child medicine spoon x 10 $3.40 4491 2oz empty plastic cough syrup bottles x 10 $2.25 9006 Asthma Mentor-peak flow meter adult or pediatric x 1 $24.40 9004 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 $28.00 3740 Cauterie disposable fine tip, high temperature,4 year shelf life x 1 $10.70 4599 Ear Syringe 1oz x 1 $1.17 9000 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 $14.25 2020 Glasses for near-sighted (-1.0 to -4.5)adjustable on side of each ear piece. x EA $13.50 9009 Lancets; for use with all monitors requiring 30g x 100 $3.65 3666D 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 $116.45 9080 Ophthalmoscope/Otoscope w/eurolight (E10) requires 2 " C" batteries [KaWe] x 1 $250.00 2301R Otoscope economy x 1 $111.00 2301A Otoscope-disposable ear specula - Adult x 100 $12.75 2301C Otoscope-Disposable ear specula - Child x 100 $12.75 2500 Pill Crusher, crush tablets into a powder x 1 $4.30 2330 Pregancy test, one step, simple to read x EA $4.00 9025 Sharps- container red large 10qt (biohazard waste) x 1 $6.85 2405 Blood Pressure Monitor w/large cuff & AC adapter, comes w/4aabatteries x EA $61.50 2607 Sphygmomanometer adult precision aneroid nylon cuff x 1 $15.35 2307 Sphygmomanometer child (precision aneroid) w/blue nylon cuff x 1 $20.70 4010 Sphygmomanometer infant (precision aneroid) w/blue nylon cuff x 1 $20.70 4032 Sphygmomanometer XL adult precision aneroid nylon cuff x 1 $23.90 4343 Stethoscope fetal 22" black vinyl Y-tubing x 1 $16.15 2305 Stethoscope spectrum dual head x 1 $6.30 2304 Stethoscope spectrum nurse, black x 1 $4.85 2552 Tablet cutter x 1 $2.50 4368 Tablet/Pill, tray counter w/spa x 1 $6.25 3327 Thermometer DIGISCAN multi-function ear &forehead scan-talking x 1 $25.00 In, English & Spanish (no probe covers with this one) -(probe covers # 4332)

Pharmaceutical Bulletin for US Clinics Only Page 6 of 6 3711 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 $3.40 4016 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.