Account Form
SHIPPING PRICES
FREE
3-DAY PRIORITY
SHIPPING TO PATIENT'S HOME
FREE
2-DAY FEDEX
SHIPPING TO THE OFFICE
$10
FEDEX
2-DAY PM
$20
FEDEX
2-DAY AM
$30
FEDEX
OVERNIGHT
$30
FEDEX
SATURDAY
PRODUCT PRICING
$40 PRED-KETOR 4ML
$40 PRED-GATI 3.5ML
$40 PRED-GATI-KETOR 4ML
$70 PRED-GATI-KETOR 7ML
$25 DEX-MOXI
$40 PRED-GATI-BROM 4ML
$70 PRED-GATI BROM 7ML
$40 PRED-BROM 4ML
$40 GATI-BROM 4ML
$45 ATROPINE 0.01% 3.5ML
$45 ATROPINE 0.025% 3.5ML
$45 ATROPINE 0.05% 3.5ML
$50 TIM-LAT 3.5ML
$55 TIM-BRIM-DOR 3.5ML
$60 TIM-BRIM-DOR-LAT 3.5ML


IMPORTANT NOTICE CONCERNING PATIENT PAYMENT RESPONSIBILITY.
You have elected to have us bill your patients directly for their medication. Note medication will not be shipped to patient until they have fully remitted payment. We will make reasonable efforts to notify your office if we are unsuccessful in contacting one of your patients for payment.