OptiMed OptiMed

    Pharmaceuticals Order Form 2020

    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*
    Invalid Input

    Practice Name*
    Invalid Input

    Practice Address*
    Invalid Input

    Email Address*
    Invalid Input

    Purchase Order Number
    Invalid Input

    Store # if applicable
    Invalid Input

    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*

    Invalid Input

    Mydriatics and Cycloplegics
    Atropine 1%
    Invalid Input

    Cyclopentalate0.5%
    Invalid Input

    Cyclopentalate1.0%
    Invalid Input

    Phenylephrine 2.5%
    Invalid Input

    Phenylephrine 10%
    Invalid Input

    Tropicamide 0.5
    Invalid Input

    Tropicamide 1.0%
    Invalid Input

    Mydriacyl 0.5%
    Invalid Input

    Mydriacyl 1.0%
    Invalid Input

    Cyclogyl 1.0%
    Invalid Input

    Pilocarpine 2%
    Invalid Input

    Local Anaesthetics
    Amethocaine 0.5%
    Invalid Input

    Amethocaine 1.0%
    Invalid Input

    Oxybuprocaine0.4%
    Invalid Input

    Alcaine
    Invalid Input

    Fluorescein 1%
    Invalid Input

    Fluorescein 2%
    Invalid Input

    Lignocaine 4% Fluorescein0.25%
    Invalid Input

    Miotics
    Antibacterials and Miscellaneous
    Chloramphenicol
    Invalid Input

    Prednisolone 0.5%
    Invalid Input

    Predneferin Forte
    Invalid Input

    Artifical Tear Gel 10g
    Invalid Input

    Medical Swabs (200)
    Invalid Input

    OptiStrips FL 100
    Invalid Input

    Optistrips FL 300
    Invalid Input

    Sterile Tear Flow Test Strips
    Invalid Input

    Schirmer Tear Test with Blue Mark
    Invalid Input

    Rose Bengal
    Invalid Input

    Lissamine Green strips
    Invalid Input

    Personal and Suface Sanitisers and other PPE
    Zoono Germ Free 150ml
    Invalid Input

    Zoono Germ Free 500ml
    Invalid Input

    Zoono Germ Free 5L foam refill
    Invalid Input

    Zoono Microbe Shield 150ml
    Invalid Input

    Zoono Microbe Shield 250ml
    Invalid Input

    Zoono Microbe Shield 5L refill
    Invalid Input

    Dry Eye Products
    Xailin Hydrate
    Invalid Input

    Hyermellose 0.3% in a 10 ml bottle

    Xailin HA
    Invalid Input

    Sodium Hyaluronate 0.2% in a 10 ml bottle

    Xailin FRESH
    Invalid Input

    0.4 ml x 30. Carmellose Sodium 0.5%

    Xailin GEL
    Invalid Input

    Carbomer 0.2% gel tube

    Xailin NIGHT
    Invalid Input

    White Soft Paraffin 5g

    Blephex Tips
    Invalid Input

    Blephadex Applicators
    Invalid Input

    Blephadex Lid Wipes
    Invalid Input

    Blephadex Foam Cleanser
    Invalid Input

    Bruder Double Eye Masks
    Invalid Input

    Bruder Single Eye Masks
    Invalid Input

    EyeGenie Heat Applicators
    Invalid Input

    Lacrimal lavage and Foreign body tools
    19g tapered to 23g lacrimal cannula
    Invalid Input

    26g lacrimal cannula
    Invalid Input

    5ml syringe - 100
    Invalid Input

    3ml syringe - 100
    Invalid Input

    rubber tool for removing foreign bodies
    Invalid Input

    Anything else you would like?
    Invalid Input