medical supply and otc catalog - westwood...

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Medical Supply and OTC Catalog 5823 Patterson Avenue Richmond, VA 23226 (804) 288-360 (phone) (804) 521-2627 (fax) (866) 996-6379 (Toll Free Phone) (888) 964-7723 (Toll Free Fax) [email protected] Westwood Pharmacy: PRESCRIPTION PHARMACEUTICAL SERVICES & MEDICAL/OTC SUPPLIES

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Medical Supply and OTC Catalog

5823 Patterson Avenue

Richmond, VA 23226

(804) 288-360 (phone)

(804) 521-2627 (fax)

(866) 996-6379 (Toll Free Phone)

(888) 964-7723 (Toll Free Fax)

[email protected]

Westwood Pharmacy: PRESCRIPTION PHARMACEUTICAL SERVICES

& MEDICAL/OTC SUPPLIES

Westwood Pharmacy Medical Supply Department- Phone: (866) 996-6379 Fax: (888) 964-7723

1

Medical Supplies

Bags .............................................................................................. 3 Batteries ....................................................................................... 3 Colostomy & Urology Supplies .................................................... 3 Cups ............................................................................................. 4 Diabetic Supplies .......................................................................... 4 Diagnostics ................................................................................... 5 Ear Care ........................................................................................ 5 Eye Care ....................................................................................... 5 First Aid ........................................................................................ 6 Gloves .......................................................................................... 6 Infection Control .......................................................................... 7 Labels ........................................................................................... 7 Medication Delivery ..................................................................... 7 Obgyn ........................................................................................... 7 Orthopedic Supplies ..................................................................... 8 Patient Aids .................................................................................. 9 Respiratory ................................................................................... 9 Sharps Containers ...................................................................... 10 Soaps & Disinfectants ................................................................ 10 Surgical Products........................................................................ 10 Syringes & IV Supplies ................................................................ 11 Wound Care ............................................................................... 12

OTC Products Allergy & Cold Remedies ............................................................ 15

Digestive Aids ............................................................................. 16 Foot Care .................................................................................... 16 Nutritional Supplements ............................................................ 17 Oral Care .................................................................................... 17 Pain Relievers ............................................................................. 18 Personal Care ............................................................................. 18 Skin Care .................................................................................... 19 Stool Softeners & Laxatives ....................................................... 21 Supplements .............................................................................. 22

Unit Dose Products ................................................................................. 23 Order Forms

Table of Contents

Westwood Pharmacy Medical Supply Department- Phone: (866) 996-6379 Fax: (888) 964-7723

2

While this is a comprehensive list of our on-stock items, do not

feel limited to this. We are able to special order other items as

requested. If there is something you cannot find in this catalog,

please give us a call, we’ll be glad to find it for you.

Please find a selection of our medical supply order forms at the

end of this booklet. For more information please contact us by

phone or fax.

Westwood Pharmacy Medical Supply Department- Phone: (866) 996-6379 Fax: (888) 964-7723

3

ITEM DESCRIPTION PKG SIZE

BAGS

BIO-HAZARD

Bio-Hazard Bag 4 gal 17"x17" 500/CS

Bio-Hazard Bag 10 gal 24"x24" 500/CS

Bio-Hazard Bag 15 gal 24" x 33" 250/CS

Bio-Hazard Bag 45 gal 40"x46" 100/CS

ZIP-CLOSED

Zip-Lock Bag 2"x8" 1000/CS

Zip-Lock Bag 3"x5" 1000/CS

Zip-Lock Bag 4"x6" 1000/CS

Zip-Lock Bag 5"x8" 1000/CS

Zip-Lock Bag 6"x9" 1000/CS

Zip-Lock Bag 9"x12" 1000/CS

Zip-Lock Bag 12"x15" 1000/CS

BATTERIES

Battery AAA 4/PK or 8/PK

Battery AA 4/PK or 8/PK

Battery C 2/PK

Battery D 2/PK

Battery 9V 1/EA

Glucometer - CR2032 1/EA

Hearing Aid size 13 8/PK

Hearing Aid size 312 8/PK

Photo 3V (123) CR17345 1/EA

Watch 357/303 1/EA

COLOSTOMY & UROLOGY SUPPLIES

COLOSTOMY

Skin Prep Wipes 50/BX

Stomahesive Paste 2oz Tube 1/EA

Adapt Stoma Powder 1oz 1/EA

Adapt Barrier Rings 10/BX

Stoma Wafers (Convatec & Hollister) 10/BX

Drainable Pouch (Convatec & Hollister) 10/BX

Drainable Pouch w/ Filter (Convatec & Hollister) 10/BX

One-Piece Drainable Pouch (Convatec 22771) 10/BX

Ostomy Appliance Belt (Convatec) 1/EA

Medical Supplies

Westwood Pharmacy Medical Supply Department- Phone: (866) 996-6379 Fax: (888) 964-7723

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Clips for Colostomy Pouch (10/BX) 1/EA

UROLOGY

Female Self-Cath (6") 30/BX

Male Self Catheter (16") 30/BX

Intermittent Catheter Tray 1/EA

Male External Catheter (Freedom Cath) 1/EA

2 Way Foley Catheter 10/BX

Coude Foley Catheter 10/BX

Closed System Foley Catheter Tray 1/EA

Catheter Insertion Tray 1/EA

Catheter Irrigation Tray 1/EA

Unisex Pre-Lubricated Urethral Catheter Kit 1/EA

Disposable Urinary Leg Bag 1/EA

Urostomy Pouch (Convatec & Hollister) 10/BX

Male Urinal w/Lid 1/EA

Female Urinal 1/EA

Calculi Strainer 1/EA

Specimen Collector Pan 1/EA

Bedpan 1/EA

Specimen Container 4oz w/Lid Non-Sterile 20/PK

Specimen Container 4oz w/Lid Sterile (100/CS) 1/EA

Urinalysis Strips 10SG 100/BX

CUPS

Foam Cup (Insulated) 12oz 1000/CS

Lids for 12oz Foam Cups 1000/CS

Plastic Cup Translucent 5oz 2500/CS

Plastic Cup Translucent 3.5oz 2500/CS

Plastic Cup Graduated 1oz 5000/CS

Paper Soufflé Cup 1oz 5000/CS

DIABETIC SUPPLIES

Alcohol Prep Pads 200/BX

Glucose Tablets 4mg 50/BT

Glucose Tablets 4mg 10/RL

Glucose Gel (Glutose 15) 3 tubes/PK

Glucose Gel (Insta-Glucose) 3 tubes/PK

LANCETS

Push-Button Safety Lancets 28G (Blue) 200/BX

Surgilance Safety Lancets 23G 100/BX

Westwood Pharmacy Medical Supply Department- Phone: (866) 996-6379 Fax: (888) 964-7723

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Easy Touch Twist Lancets 30G 100/BX

PEN NEEDLES

SHORT Pen Needles (31G x 8mm) 100/BX

MINI Pen Needles (31G x 5mm) 100/BX

NANO Pen Needles (32G x 4mm) 100/BX

INSULIN SYRINGES

Easy Touch Syringe (829555) 1/2ml 29G x 1/2" 100/BX

Easy Touch Syringe (830155) 1ml 30G x 1/2" 100/BX

Monoject Syringe 1/2ml 29G x 1/2" 100/BX

Monoject Syringe 1ml 29G x 1/2" 100/BX

GLUCOMETER TEST STRIPS

Assure Platinum Test Strips 50/BX

Bayer Contour Test Strips 50/BX

One Touch Ultra Test Strips 50/BX

Optium EZ Test Strips 50/BX

TrueMetrix 50/BX

WaveSense Presto Test Strips 100/BX

DIAGNOSTICS

Digital Thermometer 1/EA

Disposable Digital Oral Thermometer Sheaths 100/BX

Welch Allyn Thermometer Probe Covers 250/BX

Penlight Disposable (6/PK) 1/EA

Stethoscope (disposable) 1/EA

Tongue Depressors 6" Non-Sterile 500/BX

Tongue Depressors 6" Sterile 100/BX

Hemoccult Kit 1/EA

Influenza A & B Test (QuickVue) 25/BX

Strep A Test (QuickVue In-line) 25/BX

EAR CARE

Bionix Lighted Ear Curettes 50/BX

Bulb Syringe 2oz 1/EA

Earplugs (silicone) 2PR/BX

Ear Washer Tips for Elephant/Rhino 20/BG

Ear Wax Removal Drops (Debrox) 15ml 1/EA

Welch Allyn Disposable Specula Tips 4.25mm 850/BAG

EYE CARE

Eye Cup (Sterile) 1/EA

Westwood Pharmacy Medical Supply Department- Phone: (866) 996-6379 Fax: (888) 964-7723

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Eye Glass Repair Kit 1/EA

Eye Patch Concave Black w/Elastic 1/EA

Eye Patch Sterile (bandaid-like) 20/BX

Oval Eye Pad 1 5/8"x 2 5/8" (Sterile) 50/BX

Eye Wash (4oz or 16oz) 1/EA

Contact Case 1/EA

Multipurpose Contact Solution 12oz 1/EA

Artificial Tears (Polyvinyl Alcohol 1.4%) 1/2oz 1/EA

GNP Eye Drops (gen. Visine - Tetrahydrozoline HCl 0.05%) 1/2oz 1/EA

Visine-A Multi-Action Eye Allergy 1/2oz 1/EA

Stye Eye Ointment 1/EA

Reading Glasses (strengths available from +1.25 to +3.25) 1/EA

FIRST AID

Alcohol Isopropyl 70% Pint 1/EA

Alcohol Prep Pads 200/BX

Ammonia Inhalants 10/BX

Berman Airway Kit (6 sizes) 1/EA

Cotton Balls Medium Non-Sterile 2000/BG

Cotton Tipped Applicators 6" Non-Sterile 1000/BX

Cotton Tipped Applicators 6" Sterile 100/BX

CPR Mask 1/EA

CPR Micro shield 1/EA

Hydrogen Peroxide 16oz 1/EA

Hot/Cold Reusable Gel Pack 6.75"X 10.5" 24/CS 1/EA

Instant Cold Pack 5"x9" (24/CS) 1/EA

Instant Hot pack 5"x7" (24/CS) 1/EA

Medical Shears 1/EA

Povidone Antiseptic Solution (4oz, 8oz) 1/EA

Povoidone Iodine Ointment Packets 200/BX

Povoidone Iodine Prep Pads 100/BX

Povoidone Iodine 10% Swabs 50/BX

GLOVES

Glove Nitrile Powder Free Small (10BX/CS) 300/BX

Glove Nitrile Powder Free Medium (10BX/CS) 300/BX

Glove Nitrile Powder Free Large (10BX/CS) 300/BX

Glove Nitrile Powder Free X-Large (10BX/CS) 250/BX

(Latex and Vinyl Gloves also available)

Westwood Pharmacy Medical Supply Department- Phone: (866) 996-6379 Fax: (888) 964-7723

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INFECTION CONTROL

Face Mask Ear Loops Blue or Yellow 50/BX

Face Mask w/Eye Shield (Teal) 25/BX

Face Mask N95 20/BX

Protective Goggles 1/EA

Kleenex Facial Tissue 100/BX

Table Paper Exam Smooth White 21"x225' 12/CS

Exam Gown 50/CS

Isolation Gown 50/CS

Infection Control Kit 1/EA

Spill Kit Single Use 1/EA

Speedy Cleanz Fluid Absorbent for Blood & Body Fluids 1/EA

LABELS

Allergic To: (black on RED) 1000/RL

Patient Allergic To: (red on WHITE - small) 1000/RL

Patient Allergic To: (red on WHITE - large) 1000/RL

ASTHMA (red on WHITE) 1000/RL

CONFIDENTIAL For Authorized Personnel Only (white on RED) 1000/RL

HYPERTENSION (black on ORANGE) 1000/RL

Date Opened:/Exp. Date:/Initial: (black on YELLOW) 1000/RL

Blank White Circle 1000/RL

MEDICATION DELIVERY

Silent Knight Pill Crusher 1/EA

Silent Knight Pill Crusher Pouches 1000/BX

Pill Envelopes Write On 1000/BX

Pill Splitter 1/EA

Pill Crusher 1/EA

7-Day Classic Pill Reminder 1/EA

7-Day Pill Chest 1/EA

OBGYN

One Step Pregnancy Test Cassette 25/BX

One Step Pregnancy Test Dip Sticks 25/BX

Early Result Pregnancy Test 2/BX

Hydrion Test Paper (pH 3.0-5.5) 1/RL

Vaginal Speculum Disposable (S, M, L) 100/PK

Lubricating Jelly 4oz 1/EA

Surgilube 4.25oz 1/EA

Westwood Pharmacy Medical Supply Department- Phone: (866) 996-6379 Fax: (888) 964-7723

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ORTHOPEDIC SUPPLIES

Over-Door Traction Set 1/EA

Shoulder Immobilizer 1/EA

Clavicle Splint 1/EA

Triangular Bandage (40"x40"x56") 1/EA

Triangular Arm Sling (18"x36") 1/EA

Chieftain Arm Sling (S, M, L, XL) 1/EA

Cast Protector 1/EA

Elastic Elbow Support (S, M, L, XL) 1/EA

Tennis Elbow Strap 1/EA

Thumb Spica (Right or Left) 1/EA

Thumb Stabilizer (Uni-Fit) 1/EA

Abdominal Binders 1/EA

Back Support - Lumbar ComfortForm (M, L, XL, XXL) 1/EA

Maternity Support Belt 1/EA

Elastic Bandage with Velcro (2", 3", 4", 6") 10/BX

Arch Support (all sizes available) 1/PR

Insoles (all sizes available) 1/PR

Post-Op Shoe 1/EA

Cast Shoe 1/EA

WRIST SUPPORTS

Elastic Wrist Support (S, M, L, XL) 1/EA

Safety Wrist Brace (S, M, L, XL) 1/EA

Wrist Splint with Plastic Stay - Left (S, M, L) 1/EA

Wrist Splint with Plastic Stay - Right (S, M, L) 1/EA

Wrist Splint 8" with Removable *Metal* Stay - Left (S, M, L) 1/EA

Wrist Splint 8" with Removable *Metal* Stay - Right (S, M, L) 1/EA

Wrist Support Exoform - Left (S, M) 1/EA

Wrist Support Exoform - Right (S, M) 1/EA

ANKLE SUPPORTS

Neoprene Ankle Sleeve (S, M, L, XL) 1/EA

Elastic Ankle Support (S, M, L, XL, XXL) 1/EA

EVO Speed Lacer with Hinge 1/EA

Double Strap Ankle Support (S, M, L, XL) 1/EA

Lace-Up Ankle Brace (S, M, L, XL) 1/EA

Stabilizing Ankle Support with Laces 1/EA

Aircast Air-Stirrup 1/EA

KNEE SUPPORTS

Elastic Knee Support (S, M, L, XL, XXL) 1/EA

Neoprene Knee Sleeve, Open Patella (S, M, L, XL, XXL) 1/EA

Westwood Pharmacy Medical Supply Department- Phone: (866) 996-6379 Fax: (888) 964-7723

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Sport Knee Sleeve, Neoprene Open Patella (L, XL, XXL) 1/EA

Stabilizing Knee Support Brace (S, M, L, XL) 1/EA

Patella Support Strap 1/EA

HERNIA & GROIN SUPPORTS

Hernia Belt Small (30"-35" Waist) 1/EA

Hernia Belt Medium (35"-41" Waist) 1/EA

Hernia Belt Large (41"-46" Waist) 1/EA

Athletic Supporter (S, M, L, XL, XXL) 1/EA

Suspensory with Leg Straps (M, L, XL) 1/EA

Swimmer Supporter (M, L) 1/EA

PATIENT AIDS

Anti-Embolism Hose Knee High (S, M, L, XL) 1/PR

Anti-Embolism Hose Thigh High (S, M, L, XL, XXL) 1/PR

Adult Folding Walker 1/EA

Adult Bariatric Walker 1/EA

Cane - Wood with Standard Handle 1/EA

Cane - Aluminum with Standard Handle 1/EA

Cane - Aluminum Quad 1/EA

Crutches (Aluminum) 1/PR

Shower Chair 1/EA

Shower Transfer Bench 1/EA

Overbed Table 1/EA

Transfer Board (24") 1/EA

Carafe Graduated Clear w/straw 28oz 1/EA

Pitcher With Lid 32oz 1/EA

Emesis Bag 1/EA

Emesis Basin 1/EA

Inflatable Vinyl Cushion ("donut") 1/EA

Sitz Bath 1/EA

Wash Basin Rectangle 8QT (foot) 1/EA

Chux 17"x24" - 25/bg 300/CS

ADULT BRIEFS

Briefs Adult M 20/BG

Briefs Adult L 20/BG

Briefs Adult XL 20/BG

Briefs Adult XXL 12/BG

RESPIRATORY

CPAP FitLife Total Face Mask (Large) 1/EA

Westwood Pharmacy Medical Supply Department- Phone: (866) 996-6379 Fax: (888) 964-7723

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Nebulizer Compressor System 1/EA

PulmoNeb LT w/ disposable Nebulizer 1/EA

Disposable Nebulizer (112-5617) 1/EA

Hand-Held Nebulizer (1724) 1/EA

Neb Kit small volume w/ mouthpiece & tube (32642) 1/EA

Neb Kit w/ Adult Mask (32643) 1/EA

Neb Kit small volume w/ mouthpiece (32644) 1/EA

Non-Rebreather Mask w/ 7' tubing (1060) 1/EA

Oxygen Nasal Cannula w/7' Tubing 1/EA

Oxygen Mask w/Tubing (1007) 1/EA

Oxygen Tubing (25' or 50') 1/EA

Peak Flow Meter 1/EA

Sterile Trach Brushes 2/PK

Tracheostomy Clean & Care Tray 1/EA

SHARPS CONTAINERS

Sharps Collector 1qt (MDS705110) 1/EA

Sharps Collector 5qt (8507SA, MDS705153) 1/EA

Sharps Collector 5.4qt (305517, 305426) 1/EA

Sharps Collector 14qt (305480) 1/EA

Sharps Collector 1gal (31143699) 1/EA

Sharps Collector 2gal (305435, 89651, 8970) 1/EA

Sharps Collector 3gal (85221R, 305436, 88361H) 1/EA

Sharps Collector 8gal (8980) 1/EA

SOAPS & DISINFECTANTS

Softsoap Antibacterial Hand Soap 7.5oz 1/EA

Sunmark Hand Sanitizer (generic Purell) 8oz 1/EA

Hand Sanitizer with Aloe 18oz 1/EA

HandClens Foam Hand Sanitizer (Alcohol Free) 8oz 1/EA

Hibiclens Antimicrobial (generic) 4oz, 8oz, 16oz, gal 1/EA

Tincture of Green Soap 16oz 1/EA

Lysol aerosol 19oz 1/EA

Micro-Kill+ Wipes (Germicide Wipes) 160/CN

SURGICAL PRODUCTS

ER Laceration Tray 1/EA

Minor Laceration Procedure Tray w/Instruments 1/EA

Incision & Drainage Instrument Tray 1/EA

Central Line Dressing Change Tray 1/EA

Westwood Pharmacy Medical Supply Department- Phone: (866) 996-6379 Fax: (888) 964-7723

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Suturing Tray 1/EA

Suture Removal Kit 1/EA

Staple Remover Kit 1/EA

Safety Scalpel #10 10/BX

Dermabond Mini 12/BX

SYRINGES & IV SUPPLIES

NEEDLES

Needle 21G x 1 " 100/BX

Needle 22G x 1" 100/BX

Needle 27G x 1/2" 100/BX

Needle 30G x 1/2" 100/BX

Prevent M Safety Needle 23G x 1" 50/BX

Monoject Filter Needle 100/BX

Jelco Blood Collection Needle 22G x 1.5" 100/BX

SYRINGE ONLY

Syringe 1ml Luer-Lok 100/BX

Syringe 3ml Luer-Lok 200/BX

Syringe 5ml Luer-Lok 100/BX

Syringe 10ml Luer-Lok 100/BX

Syringe 60ml Luer-Lok (40/BX) 1/EA

Monoject 12ml Curved Tip Syringe 50/BX

Oral Syringe 10ml 100/BX

SYRINGE W/NEEDLE

BD Syringe (309575) 3ml 21G x 1" 100/BX

BD Syringe (309580) 3ml 18G x 1.5" 100/BX

BD Syringe (309581) 3ml 25G x 1" 100/BX

BD Syringe (309589) 3ml 23G x 1.5" 100/BX

BD Syringe (309623) 1ml 27G x 1/2" 100/BX

BD Syringe (309626) 1ml 25G x 5/8" 100/BX

BD TB Syringe (305620) 1/2ml 27G x 1/2" 100/BX

BD Safety-Lok Syringe (305553) 1ml 27G x 1/2" 100/BX

BD Safety-Lok Syringe (309593) 3ml 22G x 1.5" 100/BX

BD SafetyGlide Syringe (305906) 3ml 22G x 1.5" 50/BX

BD Eclipse Injection Needle w/ Luer-Lok Syringe (305782) 3ml 23G x 1" 100/BX

Exel Disposable Syringe 3ml 25G x 1.5" 100/BX

Magellan Syringe w/ Hypodermic Safety Needle 3ml 21G x 1.5" 50/BX

RETRACTABLE SYRINGES

VanishPoint Syringe (10131) 1ml 27G x 1/2" 100/BX

VanishPoint Syringe (10151) 1ml 25G x 5/8" 100/BX

VanishPoint Syringe (10311) 3ml 23G x 1" 100/BX

Westwood Pharmacy Medical Supply Department- Phone: (866) 996-6379 Fax: (888) 964-7723

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VanishPoint Syringe (10211) 1ml 29G x 1/2" 100/BX

Easy Touch Safety Syringe (863015) 1ml 30G x 1/2" 100/BX

Easy Touch Safety Syringe (862955) 1/2ml 29G x 1/2" 100/BX

INSULIN SYRINGES

Easy Touch Syringe (829555) 1/2ml 29G x 1/2" 100/BX

Easy Touch Syringe (830155) 1ml 30G x 1/2" 100/BX

Monoject Syringe 1/2ml 29G x 1/2" 100/BX

Monoject Syringe 1ml 29G x 1/2" 100/BX

PEN NEEDLES

SHORT Pen Needles (31G x 8mm) 100/BX

MINI Pen Needles (31G x 5mm) 100/BX

NANO Pen Needles (32G x 4mm) 100/BX

IV SUPPLIES

IV Administration Set 15gtt 106" 2 Injection Sites 1/EA

IV Gravity Set 15gtt 96"w/ 2 Needle Free Y-Sites 1/EA

IV Start Kit w/ Chlorascrub 1/EA

Interlink System, Non-DEHP IV Connector Loop 1/EA

Primary Microbore Gemstar Set 96" 1/EA

Rate Flow Regulator Extension Set 1/EA

Tegaderm IV Transparent Dressing 2-3/8"x2-3/4" 8/BX

Tegaderm IV Transparent Dressing 4"x4-3/4" (50/BX) 1/EA

IV CATHETERS

IV Cath 16G x 1.25" 1/EA

IV Cath 18G x 1.25" 1/EA

IV Cath 20G x 1.00" 1/EA

IV Cath 22G x1.00" 1/EA

IV Cath 24G x 0.75" 1/EA

VACUTAINERS

Blood Collection Set 23GX.75" Safety B-D 50/BX

Blood Collection Set 21GX.75" Safety B-D 50/BX

Blood Collection Set 23GX.75" Safety Terumo 50/BX

Blood Collection Set 21GX.75" Safety Terumo 50/BX

WOUND CARE

Aquacel Extra Ag 4"x5" 1/EA

Hydrogel GRx Wound Dressing Gel 3oz 1/EA

Ultra Klenz Wound Spray 8 oz 1/EA

Combine ABD Pad 5"x9" (Sterile) 25/BX

Combine ABD Pad 8"x7.5" (Sterile) 20/BX

Combine ABD Pad 8"x10" (Sterile) 18/BX

Westwood Pharmacy Medical Supply Department- Phone: (866) 996-6379 Fax: (888) 964-7723

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STRETCH GAUZE

Conforming Stretch Gauze Bandage 2"x75" Non-Sterile 12/PK

Conforming Stretch Gauze Bandage 3"x75" Non-Sterile 12/PK

Conforming Stretch Gauze Bandage 4"x75" Non-Sterile 12/PK

Conforming Stretch Gauze Bandage 6"x80" Non-Sterile 6/PK

Conforming Stretch Gauze Bandage 2"x75" Sterile 12/PK

Conforming Stretch Gauze Bandage 3"x75" Sterile 12/PK

Conforming Stretch Gauze Bandage 4"x75" Sterile 12/PK

Conforming Stretch Gauze Bandage 6"x80" Sterile 6/PK

GAUZE SPONGES

Gauze Sponge 2"x2" Non-Sterile 12-ply (40PK/CS) 200/PK

Gauze Sponge 3"x3" Non-Sterile 12-ply (20PK/CS) 200/PK

Gauze Sponge 4"x4" Non-Sterile 12-ply (10PK/CS) 200/PK

Gauze Sponge 2"x2" Sterile 12-ply 100/BX

Gauze Sponge 4"x4" Sterile 12-Ply 50/BX

Kerlix Super Sponge Sterile 6"x6 3/4" 1/EA

DRESSINGS

Non-Woven Island Dressing 2"x3" 50/BX

Non-Woven Sponges 2"x2" 4 Ply 50/BX

Non-Woven Sponges 4"x4" 4 Ply 200/BX

Non-Adherent Pad Sterile 2"x3" 100/BX

Non-Adherent Pad Sterile 3"x4" 100/BX

Non-Adherent Pad Sterile 3"x8" 50/BX

Multi Trauma Dressing (10"x30") 1/EA

BANDAIDS

Bandaid 3/4"x3" (Sheer or Fabric) 100/BX

Bandaid 1"x3" (Sheer or Fabric) 100/BX

Bandaid 2"x4" (Sheer or Fabric) 50/BX

Bandaid Knuckle Fabric 100/BX

Bandaid Sheer Spot 7/8" 100/BX

Waterproof Bandaid Assorted Sizes 20/BX

STERI-STRIPS

Steri-Strips 1/8"x3" 50/Bx

Steri-Strips 1/4"x4" 30/BX

Steri-Strips 1/2"x4" 18/BX

PACKING STRIPS

Packing Strip Plain 1/4"x15' 1/EA

Packing Strip Plain 1/2"x15' 1/EA

Packing Strip Plain 1"x15' 1/EA

Packing Strip Iodoform 1/4"x15' 1/EA

Packing Strip Iodoform 1/2"x15' 1/EA

Westwood Pharmacy Medical Supply Department- Phone: (866) 996-6379 Fax: (888) 964-7723

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Packing Strip Iodoform 1"X15' 1/EA

COHESIVE BANDAGE

Coban Cohesive Bandage Tan 1"x5' 1/EA

Coban Cohesive Bandage Tan 2"x5' 1/EA

Coban Cohesive Bandage Tan 3"x5' 1/EA

Coban Cohesive Bandage Tan 4"x5' 1/EA

Coban Cohesive Bandage Tan 6"x5' 1/EA

TAPE PRODUCTS

Durapore (Silk) 1"x10yd 12/BX

Durapore (Silk) 2"x10yd 6/BX

Durapore (Silk) 3"x10yd 4/BX

Medipore H (Soft Cloth) 3"x10yd 1/EA

Micropore (Paper) 1"x10yd 12/BX

Micropore (Paper) 2"x10yd 6/BX

Micropore (Paper) 3"x10yd 4/BX

Transpore (Clear Plastic) 1"x10yd 12/BX

Transpore (Clear Plastic) 2"x10yd 6/BX

Transpore (Clear Plastic) 3"x10yd 4/BX

Westwood Pharmacy Medical Supply Department- Phone: (866) 996-6379 Fax: (888) 964-7723

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ALLERGY & COLD REMEDIES

ALLERGY

Cetirizine 10mg (Zyrtec) 90/BTL

Chlorpheniramine 4mg 24/BX

Chlorpheniramine 4mg 100/BTL

Chlorpheniramine 4mg 1000/BTL

Diphenhydramine Sln 12.5mg/5ml 4oz

Diphenhydramine Sln 12.5mg/5ml 16oz

Diphenhydramine 25mg 24/BX

Diphenhydramine 25mg 100/BTL

Diphenhydramine 25mg 1000/BTL

Diphenhydramine 50mg 100/BTL

Diphenhydramine 50mg 1000/BTL

Loratadine 10mg 100/BTL

Loratadine 10mg 300/BTL

COLD REMEDIES

Afrin (generic) 12-Hour Nasal Spray 15ml

Saline Nasal Spray (Deep Sea) 1.5oz

Cepacol (Cherry - Sugar Free) 16/BX

Chloraseptic (generic) Sore Throat Spray 6oz

Cold Relief Multi-Symptom (Acet. 325mg/DM 10mg/Phenyl. 5mg) 24/BX

Cold Relief M-S Severe (Acet. 325mg/DM 10mg/Guaif. 200mg/Phenyl. 5mg) 24/BX

Cold Relief Head Congestion (Acet. 325mg/Chlorphen. 2mg/DM 10mg/Phenyl. 5mg) 24/BX

Coricidin HBP Cold & Flu (Acet. 325mg/Chlorphen. 2mg) 10/BX

Nasal Decongestant PE (Phenylephrine HCl 10mg) 36/BX

Mapap Sinus Congestion & Pain (Acet. 325mg/Phenyl. 5mg) 24/BX

Sinus & Allergy PE (Chlorphen. 4mg/Phenyl. 10mg) 24/BX

Delsym 3oz

Delsym 5oz

Guaifenesin Syrup 100mg/5ml (Robitussin) 4oz

Guaifenesin Syrup 100mg/5ml (Robitussin) 16oz

Guaifenesin DM 100mg-10mg/5ml (Robitussin DM) 4oz

Guaifenesin DM 100mg-10mg/5ml (Robitussin DM) 16oz

Guaifenesin 200mg tablet (Organ-I NR) 100/BTL

Guaifenesin 400mg tablet (Mucus Relief) 60/BTL

Mucinex (Guaif. 600mg) 40/BX

Mucinex DM (Guaif. 600mg/DM 30mg) 40/BX

Mucinex DM Max Strength (Guaif. 1200mg/DM 60mg) 14/BX

Mucinex DM Max Strength (Guaif. 1200mg/DM 60mg) 42/BX

Vicks VapoRub 50gm

OTC Products

Westwood Pharmacy Medical Supply Department- Phone: (866) 996-6379 Fax: (888) 964-7723

16

DIGESTIVE AIDS

Lactaid chewable tablets 32/BX

Meclizine 25mg (Travel Sickness) 100/BTL

Anti-Nausea Liquid (Emetrol) 4oz

Famotidine 10mg (Pepcid) 30/BX

Omeprazole 20mg (Prilosec) 42/BX

Ranitidine 75mg (Zantac) 60/BX

Ranitidine 150mg (Zantac) 50/BX

Antacid tablets 500mg (TUMS, reg. strength) peppermint or fruit flavored 150/BTL

Antacid tablets 750mg (TUMS, extra strength) orange flavored 80/BTL

Antacid tablets 1000mg (TUMS, ultra strength) fruit flavored 72/BTL

Geri-Lanta (Mylanta) 12oz

Rulox (Maalox) 12oz

Mintox Plus tablets (Maalox Plus) 100/BTL

Kaopectate 8oz

Milk of Magnesia 12oz

Milk of Magnesia 16oz

Pink Bismuth Suspension (PeptoBismol) 8oz

Pink Bismuth tablets (PeptoBismol) 30/BX

Simethicone 80mg (Mi-Acid Gas Relief) 100/BTL

Loperamide 2mg tablet (Immodium) 24/BX

Loperamide 2mg tablet (Immodium) 96/BTL

FOOT CARE

Arch Support (all sizes available) 1/PR

Insoles (all sizes available) 1/PR

Bunion Cushion 6/PK

Bunion Pad (felt) 8/PK

Callus Cushions 6/PK

Corn Cushions 9/PK

Corn Removers 9/PK

Moleskin Strips 3/PK

Fingernail Clippers 1/EA

Toenail Clippers 1/EA

Nail Brush 1/EA

Blister Gel Guard Bandaids 6/BX

Mediplast (Corn, Callus, & Wart Remover) 1/EA

Compound W Bandaids 14/BX

Compound W Gel 0.25oz

Fungi Nail Solution 1oz

Clotrimazole 1% top. Solution 10ml

Westwood Pharmacy Medical Supply Department- Phone: (866) 996-6379 Fax: (888) 964-7723

17

Clotrimazole 1% Cream 1oz

Miconazole 2% Cream 1oz

Terbinafine 1% Cream 1oz

Tinactin Spray 5.3oz

Tolnaftate 1% Cream 1oz

Tolnaftate Powder 1.5oz

Tolnaftate Solution 0.33oz

Pumice Stone 1/EA

Zeasorb Powder 2.5oz

Miconazole AF Powder 2.5oz

Desenex Spray Powder 4oz

NUTRITIONAL SUPPLEMENTS

Boost (Chocolate, Strawberry, or Vanilla) 27/CS

Ensure (Chocolate, Strawberry, or Vanilla) 24/CS

Carnation Breakfast Essentials Powder Packets (Chocolate or Vanilla) 60/CS

ORAL CARE

Colgate Total Toothpaste (7.8oz) 1/EA

Arm & Hammer Peroxi-Care Toothpaste (6oz) 1/EA

Sensodyne Toothpaste (4oz) 1/EA

Biotene Dry Mouth Oral Rinse (Alcohol Free, 16oz) 1/EA

Listerine Total Care Zero Mouthwash (Alcohol Free, 500ml) 1/EA

Sparkle Fresh Mouthwash (Alcohol Free, 4oz) 1/EA

Anbesol Max Strength Gel (0.33oz) 1/EA

Orajel (0.25oz) 1/EA

Orabase (0.42oz) 1/EA

Oral Pain Relief Gel (0.33oz) 1/EA

Red Cross Toothache Kit 1/EA

Dentemp Repair Kit (Fillings & Caps) 1/EA

Abreva (0.07oz) 1/EA

Zilactin (0.25oz) 1/EA

Chapstick (0.15oz) 1/EA

Blistex Ointment (0.21oz) 1/EA

Vaseline Lip Therapy Ointment (0.35oz) 1/EA

GUM Orthodontic Wax 1/EA

Fixodent (1.4oz) 1/EA

Poligrip (1.4oz) 1/EA

Sea-Bond Wafers (Uppers & Lowers) 15/BX

Denture Cleanser Tablets 42/BX

Denture Cup 1/EA

Westwood Pharmacy Medical Supply Department- Phone: (866) 996-6379 Fax: (888) 964-7723

18

Mouth Guard 1/EA

PAIN RELIEVERS

ORAL

Acetaminophen Solution 160mg/5ml 4oz

Acetaminophen 325mg 100/BTL

Acetaminophen 325mg 1000/BTL

Acetaminophen 500mg 100/BTL

Acetaminophen 500mg 1000/BTL

Aspirin 81mg Chewable 36/BTL

Aspirin 81mg Chewable 90/BTL

Aspirin 81mg EC 120/BTL

Aspirin 81mg EC 1000/BTL

Aspirin 325mg 100/BTL

Aspirin 325mg 1000/BTL

Aspirin 325mg EC 100/BTL

Aspirin 325mg EC 1000/BTL

Ibuprofen Suspension 100mg/5ml 8oz

Ibuprofen 200mg 50/BTL

Ibuprofen 200mg 100/BTL

Ibuprofen 200mg 500/BTL

Naproxen Sod. 220mg 200/BTL

Pain Reliever Plus (Excedrin) 100/BTL

TOPICAL

Biofreeze Gel 4oz

Analgesic Balm 1oz

Muscle Rub Cream 3oz

Salonpas-Hot (Capsicum Patch) 1/EA

PERSONAL CARE

Almay Sensitive Skin Gel Deodorant 2.25oz

Dove Sensitive Skin Solid Deodorant 2.6oz

Dove Sensitive Skin Body Wash 12oz

Summer's Eve Cleansing Wash 9oz

Miconazole 2% Vaginal Cream (Monistat) 1.5oz

Miconazole 100mg Vaginal Suppositories 7/BX

Clotrimazole 1% Vaginal Cream 1.5oz

BAR SOAP

Aveeno Moisturizing Bar 3.5oz

Basis Sensitive Skin 4oz

Westwood Pharmacy Medical Supply Department- Phone: (866) 996-6379 Fax: (888) 964-7723

19

Cetaphil 4.5oz

Conti Castile Olive Oil Sensitive Skin 3.7oz

Dial 4oz

Dove Sensitive Skin 4oz

Irish Spring 4oz

Ivory 3.1oz

SHAMPOO

Johnson's Baby Shampoo 7oz

Head & Shoulders 13.5oz

Selsum Blue 7oz

Anti-Dandruff Shampoo (Selenium Sulf 1%) 7oz

Therapeutic Tar Shampoo 2.5% (T-gel) 8oz

Ionil-T (Coal Tar 5%) 16oz

LICE TREATMENTS

De-Licer Spray 4oz

Lice Bedding Spray 5oz

Lice Killing Shampoo (RID) 4oz

Nix Family Pack (2 bottles, 2oz each) 4oz/BX

HEMORRHOIDAL CARE

Preparation H Cream 0.9oz

Preparation H Cream 1.8oz

Preparation H Cream with Hydrocortisone 1% 0.9oz

Preparation H Medicated Wipes 48/PK

Hemorrhoidal Hygiene Pads 100/PK

Hemorrhoidal Suppositories (Anu-Med) 12/BX

Hemorrhoidal Ointment 2oz

SKIN CARE

ACNE

Aqua Glycolic Toner 6oz

Astringent Solution 12/BX

Benzoyl Peroxide 2.5% Gel 2.1oz

Benzoyl Peroxide 5% Gel 1.5oz

Benzoyl Peroxide 5% Lotion 1oz

Benzoyl Peroxide 5% Wash 5oz

Benzoyl Peroxide 10% Gel 1.5oz

Benzoyl Peroxide 10% Lotion 1oz

Benzoyl Peroxide 10% Wash 5oz

Clearasil Cream (Benzoyl Peroxide 10%) 1oz

Clean & Clear 3-in-1 Exfoliating Cleanser (BP 5%) 5oz

Clean & Clear Blackhead Eraser Scrub (Salicylic Acid 2%) 5oz

Westwood Pharmacy Medical Supply Department- Phone: (866) 996-6379 Fax: (888) 964-7723

20

Neutrogena Cream Cleanser (Salicylic Acid 2%) 6.7oz

Neutrogena Rapid Clear Gel (Salicylic Acid 2%) 0.5oz

Neutrogena Facial Bar - Original 3.5oz

Neutrogena Facial Bar - Acne Prone Skin 3.5oz

pHisoderm Facial Cleansing Bar 3.3oz

Cetaphil Cleanser 8oz

Stridex Pads 55/BX

ANTIBIOTIC/ANTIFUNGAL

Bacitracin Ointment 1oz

Povidine Ointment 1oz

Triple Antibiotic Ointment 1oz

Clotrimazole 1% Cream 1oz

Miconazole 2% Cream 1oz

Terbinafine 1% Cream 1oz

Tolnaftate 1% Cream 1oz

ANTI-ITCH/PAIN RELIEF

Benadryl Cream (generic - Diphen. 2%, Zinc Ace. 0.1%) 1oz

Calamine Lotion 6oz

Gold Bond Baby Powder 4oz

Gold Bond Body Powder 4oz

Hydrocortisone 0.5% Cream 1oz

Hydrocortisone 0.5% Ointment 1oz

Hydrocortisone 1% Cream 1oz

Hydrocortisone 1% Cream 1lb

Hydrocortisone 1% Ointment 1oz

MG217 Psoriasis Cream 3.5oz

MG217 Psoriasis Ointment 3.8oz

Sarna Anti-Itch Lotion 7.5oz

Men-Phor Lotion 7.5oz

Boil Ease 1oz

Dibucaine Ointment (Nupercainal) 1oz

BARRIER/PROTECTIVE CREAMS

A & D Ointment 4oz

Calmoseptine Ointment 4oz

Petroleum Jelly 1oz

Petroleum Jelly 13oz

Desitin 2oz

Triple Paste 2oz

Zinc Oxide Ointment 1oz

Sunscreen SPF 50 8oz

Westwood Pharmacy Medical Supply Department- Phone: (866) 996-6379 Fax: (888) 964-7723

21

MOISTURIZERS

Aquaphor Ointment 14oz

Cetaphil Cream 3oz

Cetaphil Lotion 8oz

Eucerin Lotion 8.4oz

Hydrocerin Lotion 8oz

Hydrocerin Cream 4oz

Minerin Lotion 16oz

Minerin Crème 16oz

Lubriderm Lotion 3.3oz

Lubriderm Lotion 6oz

Lubriderm Lotion 16oz

Lubrisoft Lotion 16oz

LubriSkin Lotion 19oz

Palmer's Shea Butter 3.5oz

Palmer's Cocoa Butter Cream 3.75oz

Chantal Cocoa Butter Lotion 8.5oz

TheraDerm Lotion 8oz

Vaseline Intensive Care Lotion 10oz

Johnson's Baby Oil 3oz

Johnson's Baby Oil 14oz

STOOL SOFTENERS & LAXATIVES

Fiber-Lax tablets 90/BTL

Fiber Choice chewable tablets 90/BTL

Docusate Sodium 100mg (Colace) 100/BTL

Docusate Sodium 100mg (Colace) 1000/BTL

Senna tablets 100/BTL

Senna tablets 1000/BTL

Bisacodyl 5mg tablets 100/BTL

Bisacodyl 10mg suppositories 12/BX

Citrucel Powder 16oz

Konsyl Powder Packets (Metamucil) 30/BX

Reguloid Powder (Metamucil) 10oz

Miralax Powder Packets 10/BX

Miralax Powder Packets 24/BX

Mineral Oil 16oz

Magnesium Citrate Solution (Citroma) 10oz

Enema (Saline Laxative) 1/EA

Westwood Pharmacy Medical Supply Department- Phone: (866) 996-6379 Fax: (888) 964-7723

22

SUPPLEMENTS

Multivitamins 100/BTL

Multivitamins 1000/BTL

Prenatal Vitamins 100/BTL

Vitamin B-1 50mg 100/BTL

Vitamin B-1 100mg 100/BTL

Vitamin B-1 100mg 1000/BTL

Vitamin B-6 50mg 100/BTL

Vitamin B-6 100mg 100/BTL

Vitamin C 500mg 100/BTL

Vitamin C 1000mg 100/BTL

Vitamin D 400IU 100/BTL

Vitamin D 1000IU 100/BTL

Ferrous Sulfate 325mg 100/BTL

Ferrous Sulfate 325mg 1000/BTL

Fish Oil 1000mg 100/BTL

Folic Acid 400mcg 100/BTL

Folic Acid 800mcg 100/BTL

Westwood Pharmacy Medical Supply Department- Phone: (866) 996-6379 Fax: (888) 964-7723

23

UNIT DOSE PRODUCTS quantity/packet # of packs/box

PAIN

Acetaminophen 325mg (Aminophen) 2 250

Acetaminophen 500mg (Non-Aspirin) 2 250

Aspirin 325mg 2 250

Ibuprofen 200mg (Addaprin) 2 250

Naproxen 220mg (Mediproxen) 1 100

ALLERGY/COLD REMEDIES

Chlorpheniramine 4mg 1 250

Diphenhydramine 25mg 1 200

Loratadine 10mg (Loradamed) 1 50

Cold Relief 2 250

Acetamin. 325mg

Dextrometh. 15mg

Guaifenesin 200mg

Phenylephrine 5mg

Sinus Pain & Pressure 2 250

Acetamin. 500mg

Phenylephrine 5mg

Cough Drops (Medikoff) 1 300

Sugar Free, Menthol 5.8mg

STOMACH

Bismuth Sub. 262mg (Diotame - Pepto) 2 250

Ca Carbonate 420mg (Antacid - Tums) 2 250

Loperamide 2mg (Diamode) 1 100

TOPICALS

Bacitracin Oint 0.9gm 144

Benzocaine 20% (Oral Pain Relief) 0.75gm 144

Hydrocortisone 1% Cr 0.9gm 144

Lidocaine 2% (Burn Gel) 0.9gm 144

Lip Ointment 0.5gm 144

Lubricating Jelly 2.7gm 144

Povidone-Iodine Ointment 1.0gm 200

A & D Ointment 5gm 144

Tolnaftate 1% Cr (Antifungal Cr) 0.9gm 144

Technu Calagel 1.84ml 144

Triple Antibiotic Oint 0.5gm 144

Unit Dose Products

Westwood Pharmacy Medical Supply Department- Phone: (866) 996-6379 Fax: (888) 964-7723

24

MEDICAL SUPPLIES – ORDER FORM

FACILITY: PHONE: _

Authorized Signature: DATE: _

Printed Name: TIME: _

**Please include a brief description and reference numbers if possible**

1.

2.

3.

4.

5.

6.

7.

8.

9.

Westwood Pharmacy Medical Supply Department- Phone: (866) 996-6379 Fax: (888) 964-7723

25

WESTWOOD PHARMACY SERVICES

OVER THE COUNTER MEDICATION ORDER FORM

FACILITY: PHONE:

Authorized Signature: DATE: Printed Name:

ORDERS ARE SHIPPED UPS GROUND – ALLOW SUFFICIENT TIME FOR SHIPPING WHEN PLACING ORDERS. ORDERS WILL NOT ARRIVE THE NEXT DAY.

MEDICATION PACKAGE SIZE QUANTITY ORDERED

QUANTITY SHIPPED

A & D Ointment 4oz A & D Ointment UD 144/bx

Acetaminophen Sln 160mg/5ml 4oz Acetaminophen 325mg tab (Tylenol) 100 Acetaminophen 325mg tab (Tylenol) 1000 Acetaminophen 325mg UD (2 tab/pk) 250pk/bx

Acetaminophen 500mg tab (Tylenol ES) 100 Acetaminophen 500mg tab (Tylenol ES) 1000 Acetaminophen 500mg UD (2 tab/pk) 250pk/bx

Ammonia Inhalants 10 Analgesic Balm 1oz

Antacid tabs 500mg (TUMS - peppermint) 150 Anti-Dandruff Shampoo (Selenium Sulf 1%) 7oz

Anti-Nausea Liquid (Emetrol) 4oz Artificial Tears (Polyvinyl Alcohol 1.4%) 15ml

Aspirin 81mg chewable 36 Aspirin 81mg EC 120 Aspirin 81mg EC 1000 Aspirin 325mg 100 Aspirin 325mg 1000

Aspirin 325mg EC 100 Aspirin 325mg EC 1000

Bacitracin Oint 1oz Bacitracin Oint UD 144/bx Bisacodyl 5mg tab 100

Bisacodyl 10mg Supp 12 Calamine Lotion 6oz

Westwood Pharmacy Medical Supply Department- Phone: (866) 996-6379 Fax: (888) 964-7723

26

Cepacol (Cherry - Sugar Free) 16 Cetirizine 10mg tab (Zyrtec) 90 Chlorpheniramine 4mg tab 24 Chlorpheniramine 4mg tab 100 Chlorpheniramine 4mg tab 1000

Chlorpheniramine 4mg tab UD 250pk/bx Contact Solution (Multi-Purpose) 12oz

Clotrimazole 1% Vag Cr 1.5oz Clotrimazole 1% Cr (Lotrimin) 1oz Dibucaine Oint (Nupercainal) 1oz

Diphenhydramine Sln 12.5mg/5ml (Benadryl) 4oz Diphenhydramine Sln 12.5mg/5ml (Benadryl) 16oz

Diphenhydramine 25mg cap 100 Diphenhydramine 25mg cap 1000 Diphenhydramine 50mg cap 100 Diphenhydramine 50mg cap 1000

Docusate Sod 100mg (Colace) 100 Docusate Sod 100mg (Colace) 1000

Ear Wax Removal Drops (Debrox) 15ml Enema (Saline Laxative) each

Ensure (8oz bottles, 24btl/case) 1 case Eye Wash (Darcriose) 4oz

Famotidine 10mg (Pepcid/Heartburn Relief) 30 Ferrous Sulfate 325mg tab 100 Ferrous Sulfate 325mg tab 1000

Fixodent 1.4oz Geri-Lanta (Mylanta) 12oz

Guaifenesin syrup 100mg/5ml (Robitussin) 4oz Guaifenesin syrup 100mg/5ml (Robitussin) 16oz

Guaifenesin DM 100mg-10mg/5ml (Robitussin DM) 4oz Guaifenesin DM 100mg-10mg/5ml (Robitussin DM) 16oz

Guaifenesin 200mg tab (Organ-I NR) 100 Guaifenesin 400mg tab (Mucus Relief) 60

Hemorrhoidal Hygiene Pads 100 Hemorrhoidal Oint 2oz

Hemorrhoidal Supp (Anu-Med) 12 Hydrocortisone 0.5% Cr 1oz Hydrocortisone 1% Cr 1oz Hydrocortisone 1% Cr 1lb

Hydrocortisone 1% Cr UD 144/bx Hydrogen Peroxide 16oz

Westwood Pharmacy Medical Supply Department- Phone: (866) 996-6379 Fax: (888) 964-7723

27

Ibuprofen Susp 100mg/5ml 8oz Ibuprofen 200mg tab (Advil) 500

Ibuprofen 200mg tab UD (Addaprin, 2 tab/pk) 250pk/bx Isopropyl Alcohol 70% 16oz

Kaopectate 8oz Lice Killing Shampoo (RID) 4oz

Loperamide 2mg tab (Anti-Diarrheal) 24 Loperamide 2mg tab (Anti-Diarrheal) 96

Loratadine 10mg (Claritin) 100 Magnesium Citrate Sln (Citroma) 10oz

Metamucil Packets (Konsyl) 30 Metamucil Powder (Reguloid) 10oz

Miconazole 2% Topical Cr 1oz Miconazole 2% Vag Cr (Monistat) 1.5oz

Miconazole 100mg Vag Supp 7 Milk of Magnesia 12oz Milk of Magnesia 16oz

Mintox Plus Tabs (Maalox Plus) 100 Multivitamins 1000 Muscle Rub Cr 3oz

Naproxen Sod 220mg tab (Aleve) 200 Nix Twin Pack (two 2oz bottles) 4oz

Omeprazole 20mg (Prilosec) 42 Orabase 0.42oz

Orajel 0.25oz Oral Pain Relief Gel 0.33oz

Phenylephrine HCl 10mg (Nasal Decongestant PE) 36 Pink Bismuth Susp (PeptoBismol/Bismatrol) 8oz Pink Bismuth Tabs (PeptoBismol/Bismatrol) 30

Povidine Iodine Sln (Betadine) 8oz Preparation H Cr 0.9oz Preparation H Cr 1.8oz

Ranitidine 150mg (Zantac) 50 Rulox (Maalox) 12oz

Saline Nasal Spray (Deep Sea) 1.5oz Salonpas-Hot (Capsicum Patch) each

Simethicone 80mg (Mi-Acid Gas Relief) 100 Therapeutic Tar Shampoo 2.5% (T-gel) 8oz

Tinactin Spray 5.3oz Tolnaftate Cr (Tinactin) 1oz

Tolnaftate Powder (Tinactin) 1.5oz

Westwood Pharmacy Medical Supply Department- Phone: (866) 996-6379 Fax: (888) 964-7723

28

Triple Antibiotic Oint (Neosporin) 1oz Triple Antibiotic Oint UD (Neosporin) 144/bx

Vitamin B-1 100mg tab 100 Vitamin B-1 100mg tab 1000

Wart Remover Gel (Compound W) 0.25oz

Westwood Pharmacy Medical Supply Department- Phone: (866) 996-6379 Fax: (888) 964-7723

29

DIABETIC SUPPLIES PACKAGE SIZE QUANTITY ORDERED

QUANTITY SHIPPED

Alcohol Prep Pads 200 Glucose tabs 10/roll Glucose tabs 50/bottle

Glucose Gel (Glutose 15) 3 tubes/pk Glucose Gel (Insta-Glucose) 3 tubes/pk

Lancets Push-Button Safety Lancet 28G (Blue) 200

Surgilance Safety Lancet 23G 100 Easy Touch Twist 30G 100

Pen Needles BD Ultra-Fine or Easy Touch - Short (8mm x 31G) 100 BD Ultra-Fine or Easy Touch - Mini (5mm x 31G) 100 BD Ultra-Fine or Easy Touch - Nano (4mm x 32G) 100

Novofine (8mm x 30G) 100 Syringes

Monoject 1/2cc (29G x 1/2") 100 Monoject 1cc (29G x 1/2") 100

VanishPoint 1cc (29G x 1/2") 100 Test Strips

Assure Platinum 50 Bayer Contour 50

One Touch Ultra 50 OptiumEZ 50

TRUE Metrix 50 WaveSense Presto 100

Insulins Humulin R 10ml Humulin N 10ml

Humulin 70/30 10ml Novolin R 10ml Novolin N 10ml

Novolin 70/30 10ml

ALL OTC ORDERS ARE SHIPPED UPS GROUND, except refrigerated products.

Westwood Pharmacy Medical Supply Department- Phone: (866) 996-6379 Fax: (888) 964-7723

30

MEDICAL SUPPLIES

UNIT DOSE ORDER FORM

FACILITY: PHONE: _

Authorized Signature: DATE: _

Printed Name: TIME: _

UNIT DOSE MEDICATIONS quantity /packet

# of packs/box

quantity ordered

quantity shipped

PAIN

Acetaminophen 325mg (Aminophen) 2 250

Acetaminophen 500mg (Non-Aspirin) 2 250

Aspirin 325mg 2 250

Ibuprofen 200mg (Addaprin) 2 250

Naproxen 220mg (Mediproxen) 1 100

ALLERGY/COLD REMEDIES

Chlorpheniramine 4mg 1 250

Diphenhydramine 25mg 1 200

Loratadine 10mg (Loradamed) 1 50

Cold Relief 2 250

Acetamin. 325mg

Dextrometh. 15mg

Guaifenesin 200mg

Phenylephrine 5mg

Sinus Pain & Pressure 2 250

Acetamin. 500mg

Phenylephrine 5mg

Cough Drops (Medikoff) 1 300

Sugar Free, Menthol 5.8mg

STOMACH

Bismuth Sub. 262mg (Diotame - Pepto) 2 250

Ca Carbonate 420mg (Antacid - Tums) 2 250

Loperamide 2mg (Diamode) 1 100

TOPICALS

Bacitracin Oint 0.9gm 144

Benzocaine 20% (Oral Pain Relief) 0.75gm 144

Westwood Pharmacy Medical Supply Department- Phone: (866) 996-6379 Fax: (888) 964-7723

31

Hydrocortisone 1% Cr 0.9gm 144

Lidocaine 2% (Burn Gel) 0.9gm 144

Lip Ointment 0.5gm 144

Lubricating Jelly 2.7gm 144

Povidone-Iodine Ointment 1.0gm 200

A & D Ointment 5gm 144

Tolnaftate 1% Cr (Antifungal Cr) 0.9gm 144

Technu Calagel 1.84ml 144

Triple Antibiotic Oint 0.5gm 144