CGL Waltham Forest Pharmacy Order Form

Orders placed before 1pm will qualify for next day delivery.

Minimum order value is £100.00 (exc VAT).
Please note, the submit button will appear at the bottom of the form once the minimum order value is reached.

Please confirm your Pharmacy and contact details before completing your order.

Product Code

Description

Box Qty

Qty Boxes

OMP485

1ml Blue Pack
10 x 1ml 29g Coulured Needle & Syringe
5 x Citric Acid Sachets
5 x Sterile Spoon with Filter
10 x Pre Injection Alcohol Swabs
1 x SAFELOC™ NX Container

84

£

OMP486

2ml Red Pack
10 x 2ml LDS Coloured Syringe

10 x Orange 1" Needle

10 x Blue 1" Needle

5 x Citric Acid Sachets

5 x Sterile Spoon with Filter

10 x Pre Injection Alcohol Swabs

1 x SAFELOC™ NX Container

72

£

OMP487

2ml Steroid Pack
10 x 2ml LDS Coloured Syringe

10 x Blue 1 1/4" Needle

10 x Green 1 1/2" Needle

10 x Pre Injection Alcohol Swabs

1 x SAFELOC™ NX Container

72

£

OMP492

2ml Orange Pack
10 x 2ml LDS Coloured Syringe

10 x Blue 1 1/4"Needle

10 x Citric Acid Sachets

10 x Sterile Spoon with Filter

10 x Pre Injection Alcohol Swabs

1 x Regular Condom

60

£

OMP493

2ml Green Pack
10 x 2ml LDS Coloured Syringe

10 x Green 1 1/2"Needle

10 x Citric Acid Sachets

10 x Sterile Spoon with Filter

10 x Pre Injection Alcohol Swabs

1 x Regular Condom

1 x SAFELOC™ NX Container

60

£

OMPNAX

Prenoxad Injection Kit

1

£

Total Value: £

Plus VAT: £

©2019 Orion Medical Supplies Ltd

Unit 1 Arkwright Park, Arkwright Road, Bicester, Oxon, OX26 4AF
Registered in England and Wales. No: 8181275
Registered Vat No: 142018357

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