Online Orders

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 1300 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

Atropine 1%

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Cyclopentalate0.5%

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Cyclopentalate1.0%

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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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Cyclogyl 1.0%

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Pilocarpine 2%

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Local Anaesthetics

Amethocaine 0.5%

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Amethocaine 1.0%

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Oxybuprocaine0.4%

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Alcaine

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Fluorescein 1%

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Fluorescein 2%

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Lignocaine 4% Fluorescein0.25%

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Miotics

Antibacterials and Miscellaneous

Chloramphenicol

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Prednisolone 0.5%

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Predneferin Forte

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Artifical Tear Gel 10g

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Medical Swabs (200)

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OptiStrips FL 100

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100 individually wrapped OptiStips-FL

Fluorets (100's)

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OptiStrips FL (300's)

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300 individually wrapped OptiStips-FL

Sterile Tear Flow Test Strips

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Schirmer Tear Test with Blue Mark

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Rose Bengal

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Lissamine Green strips

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Lacrimal lavage and Foreign body tools

26g lacrimal cannula

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19g tapered to 23g lacrimal cannula

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5ml syringe - 100

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3ml syringe - 100

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rubber tool for removing foreign bodies

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Anything else you would like?

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Online Orders

Pharmaceuticals Order Form