Order Form

OptiMed Order Form 2023 rv2

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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Phone Number(*)

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Email Address(*)

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Purchase Order Number

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Store Number

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ALL ITEMS THAT REQUIRE COLD SHIPMENT WILL AUTOMATICALLY BE SHIPPED IN OUR COOL PACK SYSTEM (REQUIRED BY LAW) AND WILL INCUR A COLD SHIPMENT COST . 
NO COLD SHIPMENTS WILL OCCUR ON A FRIDAY OR THE DAY BEFORE A PUBLIC HOLIDAY.

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.

Mydriatics and Cycloplegics

Atropine 1%

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Cyclopentalate 0.5%

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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 & Stainers

Amethocaine 0.5%

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Amethocaine 1.0%

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Oxybuprocaine0.4%

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Alcaine

Invalid Input

Lignocaine 4% Fluorescein 0.25%

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Fluorescein 1%

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Fluorescein 2%

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Antibacterials & Corticosteroids

Chloramphenicol

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Prednisolone 0.5%

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Alcohol Swabs & Diagnostic Strips

Medical Swabs 200 alcohol swabs

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ISO Wipes Canister (75)

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Optistrips FL 100 Fluorescein Strips

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Optistrips FL 300 Fluorescein Strips

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Schirmer Tear Test with Blue Mark

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Rose Bengal

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Personal and Surface Sanitisers and other PPE

Will not harm instrument surfaces. Nanolayer technology.

Zoono Germ Free 150ml Hand Sanitiser

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Zoono Germ Free 500ml Hand Sanitiser

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Zoono Microbe Shield 250ml

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Zoono Microbe Shield 5L refill

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Face Masks
Level 2 (50)

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Face Mask
level 1 (20) -general

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Protective Gloves (M) -100

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Dry Eye Treatment Products

Xailin Hydrate
Hyermellose 0.3%
10 ml bottle

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Xailin FRESH
0.4 ml x 30. Carmellose Na 0.5%

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Xailin GEL Carbomer 0.2% tube

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Xailin NIGHT
White Soft Paraffin 5g

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Eyelid Debridement and IPL accessories

Blephex Tips
Tips for Blephex device(20)

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Blephadex Applicators debridement (20)

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IPL Thermal Control Gel 250ml

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Silicon Brush
Paddle for applying IPL GEL

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Lid Cleansing Wipes & Foams

Blephadex Pro with Manuka
30 Lid Wipes

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Blephadex Lid Wipes
30 wipes

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Blephadex Foam
Lid Scrub 50ml

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Masks, Compresses and other Dry Eye Relief

Bruder Heating Eye Compress Double

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Bruder Heating Eye Compress Single

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EyeLeve
Contact Lens Compress
10 pack Dispenser

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Hypochlorus Acid Spray
0.02% 30ml glass bottle

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Hygenic Combo Pack
30 wipes 1 bottle of 30ml hypochlorous solution

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Bulk Buy Bruder Compress Double

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Bruder Eyelid Cleansing Sheets
keeps compresses clean(35)

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Bruder Cleansing Eye Wipes
(30)

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USB Eyewarmer and Cotton Liners

USB EyeWarmer

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Cotton Liner for USB Eye Warmer

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lacrimal, lacrimal lavage and Foreign Body Tools

26g lacrimal cannula
(curved) box of 10

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5ml slip tip syringe
100

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3ml syringe
100

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Alger Burr
choose packet tip size
reusable

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Alger Brush Tip
single use 1.0mm - 5 pack

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Eyewipe
Rubber tool pack of 10

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Visiplugs
punctal plugs (1pair) lasts 3-4 months

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Anything Else You Would Like?

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please request in box

Validate before submitting(*)

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validation antispam

Diagnostic & Medical

Order Now!

Lens Edging & Dispensing

Lists and Details

OptiMed Order Form 2023 rv2

Mydriatics and Cycloplegics

Local Anaesthetics & Stainers

Antibacterials & Corticosteroids

Alcohol Swabs & Diagnostic Strips

Personal and Surface Sanitisers and other PPE

Will not harm instrument surfaces. Nanolayer technology.

Dry Eye Treatment Products

Eyelid Debridement and IPL accessories

Lid Cleansing Wipes & Foams

Masks, Compresses and other Dry Eye Relief

USB Eyewarmer and Cotton Liners

lacrimal, lacrimal lavage and Foreign Body Tools

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